KATHRYN ELIZABETH CARROLL LCSW
NPI 1154106524
Social Worker - Clinical in West Plains, MO

Active since August 25, 2023PECOS EnrolledAccepts Medicare Assignment
1211 PORTER WAGONER BLVD, WEST PLAINS, MO 65775(417) 257-6762 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Oct 2, 2023, Aug 28, 2023 and 1 more (4 updates tracked since 2023).

About Kathryn Elizabeth Carroll Lcsw NPPES

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

KATHRYN ELIZABETH CARROLL LCSW (NPI 1154106524) is an individual clinical provider in West Plains, Missouri, licensed in Missouri (2025049636) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lebanon, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1154106524
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN ELIZABETH CARROLLCredential: LCSW
Location Address1211 PORTER WAGONER BLVDWest Plains, MO 65775-1826
Mailing Address1211 Porter Wagoner BlvdWest Plains, MO 65775-1826 · (417) 257-6762
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 25, 2023
Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1154106524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MO · 2025049636
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 2023031347 (MO)
1211 PORTER WAGONER BLVD, West Plains, MO 65775

Secondary Practice Location 1

Location 1860 Lynn StLebanon, MO 65536-3810 · Phone (844) 853-8937

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

Kathryn Elizabeth Carroll 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 ID1355795832
PECOS Enrollment IDI20231003000637
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 65775 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 $52.28 – $161.24
Typical copayment $0.00 (range $13.07 – $40.31)
Most-billed visit code NA
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 15

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

Nurse Practitioner
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Counselor (Mental Health)
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Counselor (Mental Health)
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Counselor (Professional)
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Social Worker (Clinical)
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Social Worker
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Social Worker (Clinical)
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775
Social Worker
1211 PORTER WAGONER BLVD
WEST PLAINS, MO 65775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Carroll's NPI number?

The NPI number for Kathryn Carroll is 1154106524. It was assigned to this individual provider in the NPPES registry on August 25, 2023.

Where is Kathryn Carroll located?

Kathryn Carroll practices at 1211 Porter Wagoner Blvd, West Plains, MO 65775. The listed phone number is (417) 257-6762.

What is Kathryn Carroll's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathryn Carroll enrolled in Medicare?

Yes. Kathryn Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathryn Carroll was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.