MICA DEANN SUTTON LCSM
NPI 1639339229
Social Worker - Clinical in Hillsboro, MO

Q: What is Mica Sutton's NPI number?

The NPI number for Mica Sutton is 1639339229. It was assigned to this individual provider in the NPPES registry on June 17, 2008. The provider is also known as Mica Deann Kianetski Lcsw.

Q: What is Mica Sutton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mica Sutton was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 17, 2008PECOS Enrolled

10640 BUSINESS 21, HILLSBORO, MO 63050(618) 877-4420 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2020, May 9, 2018, Mar 23, 2017 (3 updates tracked since 2017).

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About Mica Deann Sutton Lcsm NPPES

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

MICA DEANN SUTTON LCSM (NPI 1639339229) is an individual clinical provider in Hillsboro, Missouri, licensed in Missouri (2020017507) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Searcy.

NPPES Registry Identity

NPI1639339229

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMICA DEANN SUTTONCredential: LCSM

Location Address10640 BUSINESS 21Hillsboro, MO 63050-5039

Mailing Address448 Wylie DrNormal, IL 61761-5405 · (888) 924-3786 · Fax (309) 451-7763

Phone(618) 877-4420

Sole ProprietorNo

Enumeration DateJune 17, 2008

Last NPPES UpdateJune 25, 20203 updates tracked since enumeration

NPPES CertifiedJune 25, 2020

✔ NPI 1639339229 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 · 2020017507

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 5137-M (AR)

10640 BUSINESS 21, Hillsboro, MO 63050

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Other Names 1

Former Name (1)Mica Deann Kianetski Lcsw

Secondary Practice Location 1

Location 11507 E. Race St.Searcy, AR 72143-4661 · Phone (501) 305-2359 · Fax (501) 305-2348

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mica Deann Sutton Lcsm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mica Sutton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chestnut Health Systems Inc

176 mi

Rehabilitation, Substance Use Disorder

1003 MARTIN LUTHER KING DR
Bloomington, IL 61701

Reassigned Medicare billing, Missouri enrollment
17 clinicians in this Medicare group

NPI 1366431686 (309) 827-6026

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63050 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 10

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

MR. JOSHUA WHITE

Counselor