Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1780616078 Deactivated / Inactive NPI Female Practitioner

Ellen Katherine Eberhard , LCSW

Social Worker • Lees Summit, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ellen Eberhard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2006
NPI Deactivation Date December 10, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Ellen Eberhard, LCSW was a registered Social Worker practicing in Lees Summit, MO. Throughout an active medical career spanning 13 years, Ellen Eberhard provided care at the practice location at 1272 NE WINDSOR DR until profile deactivation on 2019-12-10.

Practice Location & Contact Primary Location

Practice Address

1272 Ne Windsor Dr

Lees Summit, MO 640865594

Telephone 8162464465
Fax 8165247008
Associated Practice Facility / Clinic
🏢 Healing Grace Ministries, Inc Facility NPI 1346417706

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
47 Specialists

Practicing in Lees Summit, MO (1936 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MO 000814

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Megan Deaver

Counselor - Professional

NPI 1013444322
Susan Taylor-Amos , LCSW

Social Worker - Clinical

NPI 1023790086

Licensed Clinical Social Worker

Eileen Fratzke

Counselor - Professional

NPI 1053962019
Danielle Arsenault

Social Worker - Clinical

NPI 1093522914
Clara Elliott , EDS

Psychologist - Clinical

NPI 1104210640
Dr. Elaine Strid , PHD LPC

Counselor - Professional

NPI 1114928983

PHDLPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 10, 2019

Record deactivated on December 10, 2019

NPI Profile Active October 30, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 30, 2007

Registered at 1272 NE WINDSOR DR, LEES SUMMIT, MO 640865594 (Tel: 8162464465)

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Updated Business Mailing Address October 30, 2007

Registered at 1233 W 16TH ST, MARYVILLE, MO 644681205 (Tel: 8162464465)

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Provider Name / Credentials Updated October 30, 2007

Recorded as ELLEN EBERHARD, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2007

Social Worker (License #000814 in MO)

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Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780616078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: October 30, 2007
Deactivation Date: December 10, 2019

Mailing Address

1233 W 16th St

Maryville, MO 644681205

Phone: 8162464465

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.