KATIE DOMINIQUE SAMMON LCSW
NPI 1407470537
Social Worker - Clinical in Sullivan, MO

Active since June 04, 2020
101 PROGRESS PKWY, SULLIVAN, MO 63080(888) 403-1071 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katie Dominique Sammon Lcsw NPPES

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

KATIE DOMINIQUE SAMMON LCSW (NPI 1407470537) is an individual clinical provider in Sullivan, Missouri, licensed in Missouri (2020009398) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1407470537
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE DOMINIQUE SAMMONCredential: LCSW
Location Address101 PROGRESS PKWYSullivan, MO 63080-2359
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Enumeration DateJune 4, 2020
NPPES CertifiedJune 4, 2020
NPI 1407470537 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 MO · 2020009398
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.

101 PROGRESS PKWY, Sullivan, MO 63080

Other Names 1

Former Name (1)Katie Dominique Belpulsi Lcsw

Other Providers at the Same Location NPPES 20

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

Internal Medicine
101 PROGRESS PKWY
SULLIVAN, MO 63080
Psychiatry & Neurology (Psychiatry)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Family Medicine
101 PROGRESS PKWY
SULLIVAN, MO 63080
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Licensed Practical Nurse
101 PROGRESS PKWY
SULLIVAN, MO 63080
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Counselor (Professional)
101 PROGRESS PKWY
SULLIVAN, MO 63080
Dental Hygienist
101 PROGRESS PKWY
SULLIVAN, MO 63080

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 Katie Sammon's NPI number?

The NPI number for Katie Sammon is 1407470537. It was assigned to this individual provider in the NPPES registry on June 4, 2020. The provider is also known as Katie Dominique Belpulsi Lcsw.

Where is Katie Sammon located?

Katie Sammon practices at 101 Progress Pkwy, Sullivan, MO 63080. The listed phone number is (888) 403-1071.

What is Katie Sammon's specialty?

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

When was this NPI record last updated?

The NPPES record for Katie Sammon was last updated on June 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.