Teri Kluesner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005228 Issued in MO

Practice address

2909 Independence St
Cape Girardeau, MO 63703-5044

Phone

(573) 803-1402

Fax

(573) 803-1405

NPI assigned

Sep 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1083718654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035044",
            "telephone_number": "573-803-1402",
            "fax_number": "573-803-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035044",
            "telephone_number": "573-803-1402",
            "fax_number": "573-803-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUESNER",
        "first_name": "TERI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "005228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498823103",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammi Sue Kirkpatrick
• Amanda Fae Kitchen
• Christina Kittleson
• Jordan Demaris Klaffer, MA, PLPC
• Christopher Ryan Kline, ATC
• Stacy R Klusmeier, MA, BCBA, LBA
• Katherine May Knaup, ED.S
• Debra Sue Knight, PH.D.
• Patrick Revere Knight, MD
• KNL Prescriptions LLC

• Clinical Social Worker in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.