Carly Ann Klenklen, LMSW
Individual provider Active NPI Social Worker · Iola, KS
NPI 1134812365 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1134812365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 13123 (KS)
- Practice address
- 304 N Jefferson Ave
Iola, KS 66749-2327 - Phone
- (620) 365-5717
- NPI assigned
- Jun 1, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13123 | KS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 13123 | KS | Yes |
Addresses
Primary practice location
304 N Jefferson Ave
Iola, KS 66749-2327
Mailing address
525 N Grant St
Erie, KS 66733-1007
Phone (620) 212-0574
Other providers in Iola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.