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MS. ELLA M. DUNCAN LCSW
NPI 1386620375
Social Worker - Clinical in O Fallon, IL

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
7 EAGLE CTR STE B-1, O FALLON, IL 62269(618) 726-2041(618) 726-2043 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Ella M. Duncan Lcsw NPPES

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

MS. ELLA M. DUNCAN LCSW (NPI 1386620375) is an individual clinical provider in O Fallon, Illinois, licensed in Illinois (149.011508) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1386620375
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. ELLA M. DUNCANCredential: LCSW
Location Address7 EAGLE CTR STE B-1O Fallon, IL 62269-1946
Mailing Address7 Eagle Ctr Ste B-1O Fallon, IL 62269-1946 · (618) 581-2984 · Fax (618) 256-7246
Phone(618) 726-2041
Fax(618) 726-2043
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 21, 2005
Last NPPES UpdateMarch 7, 2019
✔ NPI 1386620375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.011508
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.
7 EAGLE CTR STE B-1, O Fallon, IL 62269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Ms. Ella M. Duncan 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 ID9133357734
PECOS Enrollment IDI20140103001273
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 62269 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 $56.28 – $173.35
Typical copayment $0.00 (range $14.07 – $43.33)
Most-billed visit code NA
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 2

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

MRS. CARMEN JEAN SCHOTT LCSW, LISW
Social Worker (Clinical)
7 EAGLE CTR STE B-1
O FALLON, IL 62269
St. Clair County (618) 982-3511
CAITLIN R PFLASTERER M.ED., LCPC
Counselor (Mental Health)
7 EAGLE CTR STE B-1
O FALLON, IL 62269
St. Clair County (618) 577-0660

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 Ella Duncan's NPI number?

The NPI number for Ella Duncan is 1386620375. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Ella Duncan located?

Ella Duncan practices at 7 Eagle Ctr Ste B-1, O Fallon, IL 62269. The listed phone number is (618) 726-2041.

What is Ella Duncan's specialty?

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

Is Ella Duncan enrolled in Medicare?

Yes. Ella Duncan 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.

What insurance does Ella Duncan accept?

Health plans from Providence Health Plan list Ella Duncan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ella Duncan was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.