Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Missouri Health Council Inc

Organization Clinical Social Worker · NPI 1962548974

Northeast Missouri Health Council Inc is a Clinical Social Worker in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1506 Crown Dr
Kirksville, MO 63501
Phone: (660) 627-4493
Fax: (660) 627-4288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 002241 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2006005622 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2005037424 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence R5E64 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence R5N07 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 111208 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 096968 (MO)

Record details

NPI number1962548974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Grimm — Executive Director · (660) 627-5757
Other names Northeast Family Health
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJune 24, 2011
Mailing address1416 Crown Drive, Kirksville, MO 63501-2548

Other providers in Kirksville