Individual provider Active NPI

Jeffrey Klemann, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1255464517
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW024309 Issued in PA
Practice address
100 S Juniper St
Philadelphia, PA 19107-2703
Phone
(267) 999-9534
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06341200 NJ
Clinical Social Worker 1041C0700X 34004609 IN
Clinical Social Worker 1041C0700X CW024309 PA Primary

Addresses

Primary practice location

100 S Juniper St
Philadelphia, PA 19107-2703

Mailing address

PO Box 4323
620 8TH Avenue
Terre Haute, IN 47804-0323
Phone (812) 231-8323

Other practice location 1

1001 Lonetree Road
Linton, IN 47441-0553
Phone (812) 847-4435

Other practice location 2

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (833) 258-8498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20031204000777 IN Practitioner - Clinical Social Worker 2163327958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004609INMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Recover Together, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

3070 104th St
#100
Urbandale, IA 50322

730 College Ave
Vincennes, IN 47591

Organizations & group practices 2

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1255464517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4323",
            "address_2": "620 8TH AVENUE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478040323",
            "telephone_number": "812-231-8323",
            "fax_number": "812-231-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JUNIPER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072703",
            "telephone_number": "267-999-9534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Lonetree Road",
            "address_purpose": "LOCATION",
            "city": "Linton",
            "state": "IN",
            "postal_code": "474410553",
            "country_code": "US",
            "telephone_number": "812-847-4435",
            "fax_number": "812-847-8297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "833-258-8498",
            "fax_number": "833-613-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEMANN",
        "first_name": "JEFFREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06341200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004609",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW024309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.