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SAMUEL CARL SCOTT LCSW
NPI 1497874655
Social Worker - Clinical in Independence, MO

Active since March 28, 2007Opted out of Medicare · through Apr 1, 2027
517 W WALNUT ST, INDEPENDENCE, MO 64050(816) 678-6428 Get Directions Write a Review

NPPES record last updated: July 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Carl Scott Lcsw NPPES

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

SAMUEL CARL SCOTT LCSW (NPI 1497874655) is an individual clinical provider in Independence, Missouri, licensed in Missouri (2009030757) and active in the NPI registry since March 2007. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497874655
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL CARL SCOTTCredential: LCSW
Location Address517 W WALNUT STIndependence, MO 64050-3621
Mailing Address517 W Walnut StIndependence, MO 64050-3621 · (816) 678-6428
Phone(816) 678-6428
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 1, 2011
✔ NPI 1497874655 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 · 2009030757
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.
517 W WALNUT ST, Independence, MO 64050
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samuel Carl Scott Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64050 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 $55.29 – $168.52
Typical copayment $0.00 (range $13.82 – $42.13)
Most-billed visit code NA
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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 3

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

LDS FAMILY SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
517 W WALNUT ST, SUITE 2
INDEPENDENCE, MO 64050
Jackson County (816) 461-5512
MR. PAUL R. GALE LCSW
Social Worker (Clinical)
517 W WALNUT ST, SUITE 2
INDEPENDENCE, MO 64050
Jackson County (816) 461-5512
MS. JUDITH PEARSON FRANCISCO
Counselor (Mental Health)
517 W WALNUT ST, SUITE 2
INDEPENDENCE, MO 64050
Jackson County (816) 461-5512

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 Samuel Scott's NPI number?

The NPI number for Samuel Scott is 1497874655. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Samuel Scott located?

Samuel Scott practices at 517 W Walnut St, Independence, MO 64050. The listed phone number is (816) 678-6428.

What is Samuel Scott's specialty?

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

Is Samuel Scott enrolled in Medicare?

No. Samuel Scott has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Samuel Scott was last updated on July 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.