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MRS. IDA MAE SUTTMOLLER MA LCSW CASAC
NPI 1912133323
Social Worker - Clinical in Versailles, MO

Active since June 01, 2009PECOS Enrolled
81.52/100
CMS Quality Rating
108 WEST JASPER, VERSAILLES, MO 65084(573) 378-6833(573) 378-6823 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Ida Mae Suttmoller Ma Lcsw Casac NPPES

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

MRS. IDA MAE SUTTMOLLER MA LCSW CASAC (NPI 1912133323) is an individual clinical provider in Versailles, Missouri, licensed in Missouri (003970) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912133323
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. IDA MAE SUTTMOLLERCredential: MA LCSW CASAC
Location Address108 WEST JASPERVersailles, MO 65084
Mailing Address108 West JasperVersallies, MO 65084 · (573) 378-6833 · Fax (573) 378-6823
Phone(573) 378-6833
Fax(573) 378-6823
Sole ProprietorYes
Enumeration DateJune 1, 2009
✔ NPI 1912133323 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 · 003970
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 868 (MO)
108 WEST JASPER, Versailles, MO 65084
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ida Mae Suttmoller Ma Lcsw Casac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65084 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.5
Improvement Activities40

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 Ida Suttmoller's NPI number?

The NPI number for Ida Suttmoller is 1912133323. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Ida Suttmoller located?

Ida Suttmoller practices at 108 West Jasper, Versailles, MO 65084. The listed phone number is (573) 378-6833.

What is Ida Suttmoller's specialty?

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

Is Ida Suttmoller enrolled in Medicare?

Yes. Ida Suttmoller is registered in the Medicare PECOS enrollment system.

What insurance does Ida Suttmoller accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and UnitedHealthcare list Ida Suttmoller 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 Ida Suttmoller was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.