MICA DEANN SUTTON (NPI# 1639339229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639339229 |
| Entity Type | Individual |
| Full Name | MICA DEANN SUTTON |
| Other Name | MICA DEANN KIANETSKI |
| Credential | LCSM |
| Practice Address |
10640 Business 21 Hillsboro MO 63050-5039 |
| Mailing Address |
448 Wylie Dr Normal IL 61761-5405 |
| Practice Telephone | 6188774420 |
| Mailing Telephone | 8889243786 |
| Mailing Fax Number | 3094517763 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 5137-M | AR | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2020017507 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1507 E. Race St., Searcy, AR 721434661 | 5013052359 | 5013052348 |
| Street Address |
10640 BUSINESS 21 |
| City | HILLSBORO |
| State | MO |
| Zip Code | 63050-5039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093807497 | Sudhirkumar P Shah | Internal Medicine | 10640 Business 21, Hillsboro, MO 63050-5039 | 2006-09-30 |
| 1205437753 | Chelsea Elizabeth Noce | Counselor | 10640 Business 21, Hillsboro, MO 63050-5039 | 2020-11-02 |
| 1710596770 | Theresa Lynn Robson | Social Worker | 10640 Business 21, Hillsboro, MO 63050-5039 | 2020-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942747118 | Jefferson Franklin Community Action Corp | Health Educator | 2 Merchants Dr, Hillsboro, MO 63050 | 2017-01-26 |
| 1073998266 | Lindsey Johnston | Counselor | 351 Main Street, Hillsboro, MO 63050 | 2015-07-29 |
| 1952544017 | Kelli M. Fuller | Registered Nurse | 802 Mel Carnahan Dr Ste 215, Hillsboro, MO 63050 | 2009-04-18 |
| 1548444797 | Leonard Hughes Co Inc | Eyewear Supplier (Equipment, not the service) | 11339 Hwy 21, Hillsboro, MO 63050 | 2007-12-24 |
| 1275728305 | Shah Enterprises LLC | Health Maintenance Organization | 10640 Highway 21, Hillsboro, MO 63050 | 2007-09-12 |
| 1649487190 | James Reehten | Counselor | 473 Maple, Hillsboro, MO 63050 | 2007-05-16 |
| 1790856268 | Barbara Joyce Becherer | Counselor | 10814 Highway 21, C, Hillsboro, MO 63050 | 2006-11-13 |
| 1740255413 | Jason Fish | Dentist | #4 Hickory Ridge Rd, Suite 100, Hillsboro, MO 63050 | 2006-02-17 |
| 1619963253 | David John Stansfield | Family Medicine | 10279 Business 21, Hillsboro, MO 63050 | 2005-09-20 |
| 1417426933 | Lauren Pritchard | Counselor | 351 Main Street, Hillsboro, MO 63050 | 2018-11-14 |
| Find all providers in zip 63050 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1447742481 | The Healing Alliance LLC | Social Worker | 315 E Main St Ste 205, Hillsboro, OR 97123-4173 | 2018-06-05 |
| 1043726508 | Jennifer Bergmans Ybarra | Social Worker | 6997 Se Ariel St, Hillsboro, OR 97123-6331 | 2017-12-20 |
| 1871005199 | Jody Mogle | Social Worker | 18650 Nw Cornell Rd Ste 215, Hillsboro, OR 97124-9212 | 2017-10-26 |
| 1265984264 | Julie Elaine Wood | Social Worker | 1075 Se 36th Ave, Hillsboro, OR 97123-7709 | 2016-10-26 |
| 1821469800 | Kathryn Shearer | Social Worker | 152 Se 5th Ave, Hillsboro, OR 97123-4293 | 2015-10-15 |
| 1225446891 | Family Crossroads Inc. | Social Worker | 333 Ne Lincoln St, Hillsboro, OR 97124-3145 | 2014-07-28 |
| 1760725402 | Christina Marie Hostetler | Social Worker | 335 Se Eighth Ave, Hillsboro, OR 97123 | 2013-04-01 |
| 1841588308 | Kirsten Michelle Drashner | Social Worker | 155 N First Ave. Ms #70, Hillsboro, OR 97124 | 2011-07-19 |
| 1174816342 | Lydia M Radke | Social Worker | 111 Se 3rd Ave, Hillsboro, OR 97123-4036 | 2011-05-22 |
| Find all providers in HILLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.