Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Northeast Missouri Health Council Inc

Organization Clinical Social Worker · NPI 1962548974

Northeast Missouri Health Council Inc provides Clinical Social Worker services 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 Not confirmed with CMS for 15 years — call before visiting
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

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