Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. IDA MAE SUTTMOLLER, MA LCSW CASAC
Active Sole ProprietorMRS. IDA MAE SUTTMOLLER, MA LCSW CASAC is a Clinical Social Worker healthcare provider located in VERSAILLES, Missouri. NPI 1912133323 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · VERSAILLES, MO
Registration Details
- NPI Number
- 1912133323
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2009 (17.180807487656 yrs)
- Last Updated
- Jun 1, 2009
- Licenses
-
868 (MO)003970 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
108 WEST JASPERVERSAILLES, MO, 65084Browse MO providers · Browse ZIP 65084
- Phone
- 5733786833
- Fax
- 5733786823
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in VERSAILLES, MO
| Name | Credential | NPI |
|---|---|---|
| MS. ANGELA M. ROSS | LCSW | 1023029832 |
| RENAE M BELT | LMSW | 1003422098 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.