Individual provider Active NPI

Darlene Nichole Rohn, LCSW

  • Social Worker
  • Kirksville, MO
National Provider Identifier
1164560132
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
105 Pfeiffer Ave
Kirksville, MO 63501-5047
Phone
(660) 665-4612
Fax
(660) 665-4635
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

105 Pfeiffer Ave
Kirksville, MO 63501-5047

Mailing address

105 Pfeiffer Ave
Kirksville, MO 63501-5047
Phone (660) 665-4612

Other practice location 1

154 Forrest Dr
Hannibal, MO 63401-5511
Phone (573) 221-2120

Other names 1

  • Mrs. Darlene Nichole Salmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629002406 MO Practitioner - Clinical Social Worker 5294047585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005161MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Association for Mental Health, Inc. CurrentSince May 1, 2015 Accepting new patients
Mark Twain Association for Mental Health, Inc CurrentSince May 1, 2015 Accepting new patients
Jennifer Patrick, LCSW, Limited Past Accepting new patients

Locations

154 Forrest Dr
Hannibal, MO 63401
Phone (573) 221-2120

105 Pfeiffer Ave
Kirksville, MO 63501
Phone (660) 627-5757

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1164560132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PFEIFFER AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015047",
            "telephone_number": "660-665-4612",
            "fax_number": "660-665-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PFEIFFER AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635015047",
            "telephone_number": "660-665-4612",
            "fax_number": "660-665-4635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Forrest Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634015511",
            "country_code": "US",
            "telephone_number": "573-221-2120",
            "fax_number": "573-221-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHN",
        "first_name": "DARLENE",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLENE",
            "last_name": "SALMONS",
            "middle_name": "NICHOLE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.