Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Ida Mae Suttmoller, MA, LCSW, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912133323

Mrs. Ida Mae Suttmoller, MA, LCSW, CASAC is an Addiction (Substance Use Disorder) Counselor in Versailles, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2009
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

108 W Jasper
Versailles, MO 65084
Phone: (573) 378-6833
Fax: (573) 378-6823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 003970 (MO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 868 (MO)

Record details

NPI number1912133323
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCSW , CASAC
Sole proprietorYes
NPI enumeratedJune 1, 2009
Last updated in NPPESJune 1, 2009