Individual provider Active NPI

Kara A Klemann, LCSW, LCAC

  • Clinical Social Worker
  • Vincennes, IN
National Provider Identifier
1265419642
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004799A Issued in IN
Practice address
121 Buntin St
Vincennes, IN 47591-1320
Phone
(812) 885-2700
NPI assigned
Dec 28, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004799A IN Primary

Addresses

Primary practice location

121 Buntin St
Vincennes, IN 47591-1320

Mailing address

515 Bayou St
Vincennes, IN 47591-1034
Phone (812) 886-6800

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
I20041025000299 IN Practitioner - Clinical Social Worker 3577524495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004799AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Family Health Center, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Good Samaritan Family Health Center, Inc CurrentSince Jul 1, 2023 Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc Past Accepting new patients
Good Samaritan Family Health Center, Inc. Past Accepting new patients
Good Samaritan Family Health Center, Inc. Past Accepting new patients

Locations

10890 N State Road 159
Rm E20
Bicknell, IN 47512
Phone (812) 885-2720

7820 N Camp Arthur Rd
Fl 1
Bruceville, IN 47516
Phone (812) 885-2720

611 E Main St
Ste 110
Petersburg, IN 47567
Phone (812) 354-8426

1008 Upper 11th St
Rm 25
Vincennes, IN 47591
Phone (812) 885-2720

1027 Washington Ave
Vincennes, IN 47591
Phone (812) 494-7500

1027 Washington Ave
#B
Vincennes, IN 47591
Phone (812) 494-7500

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

1513 Main St
Fl 3
Vincennes, IN 47591
Phone (812) 885-2720

1545 S Hart Street Rd
Fl 1
Vincennes, IN 47591
Phone (812) 885-8720

1901 Willow St
Vincennes, IN 47591
Phone (812) 885-2720

2116 N 2nd St
Rm B1
Vincennes, IN 47591
Phone (812) 885-2720

2134 Washington Ave
Fl 3
Vincennes, IN 47591
Phone (812) 885-2720

300 N 1st St
Vincennes, IN 47591
Phone (812) 494-9510

515 Bayou St
Vincennes, IN 47591
Phone (812) 886-0907

2007 State St
Washington, IN 47501
Phone (812) 254-1558

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265419642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BAYOU ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911034",
            "telephone_number": "812-886-6800",
            "fax_number": "812-886-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BUNTIN ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911320",
            "telephone_number": "812-885-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMANN",
        "first_name": "KARA",
        "middle_name": "A",
        "credential": "LCSW, LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004799A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.