MRS. EBONY J MAC LCSW
NPI 1063747772
Social Worker - Clinical in Saint Louis, MO

Active since October 14, 2009PECOS EnrolledAccepts Medicare Assignment
401 PINE ST, SAINT LOUIS, MO 63102(314) 465-5351 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 13, 2026, May 7, 2024 (2 updates tracked since 2024).

About Mrs. Ebony J Mac Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EBONY J MAC LCSW (NPI 1063747772) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2009008986) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063747772
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. EBONY J MACCredential: LCSW
Location Address401 PINE STSaint Louis, MO 63102-2731
Mailing Address6643 Chamberlain AveSaint Louis, MO 63130-2636 · (314) 465-5351 · Fax (314) 465-5351
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 14, 2009
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1063747772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MO · 2009008986 Licensed in TX · 110950
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

401 PINE ST, Saint Louis, MO 63102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ebony J Mac Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789066101
PECOS Enrollment IDI20220802001898
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.65 – $169.38
Typical copayment $0.00 (range $13.91 – $42.34)
Most-billed visit code NA
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
401 PINE ST
SAINT LOUIS, MO 63102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063747772, enumerated as an "individual" on October 14, 2009.

The provider is located at 401 PINE ST SAINT LOUIS, MO 63102 and the phone number is (314) 465-5351.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Oscar Insurance Company and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.