Joann R Klein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R030217 Issued in NY

Practice address

112 Spackenkill Rd
Poughkeepsie, NY 12603-5040

Phone

(845) 463-7822

Fax

(845) 463-7877

NPI assigned

Nov 28, 2011

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1194092718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPACKENKILL RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035040",
            "telephone_number": "845-463-7822",
            "fax_number": "845-463-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPACKENKILL RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035040",
            "telephone_number": "845-463-7822",
            "fax_number": "845-463-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JOANN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251300000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kingsway Anesthesia PC
• Kiana Kipp
• Cassandra Kirk
• Michael Christian Kirpan, M.D.
• Kurt C. Kish, D.C.
• Julia Catherine Klein
• Radoslava Klein, M.D.
• Mary J Kline, LCSW
• Ruth Ann Raichle Klipp, M.A., CCC-SP
• Emily J. Klump, COTA

• Clinical Social Worker in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.