Jody K Koerner, L.S.C.S.W.
Individual provider Active NPI Clinical Social Worker · Auburn, KS
NPI 1275635567 · NPPES record last updated Jan 22, 2022
Key facts
- NPI
- 1275635567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LSCSW 1667 (KS)
- Practice address
- 6109 SW South Pointe Dr
Auburn, KS 66402-9533 - Phone
- (785) 249-4847
- Fax
- (785) 785-4783
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 SW Wanamaker Rd
Suite 3
Topeka, KS 66604-3805
Phone (785) 249-4847
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090518000520 | KS | Practitioner - Clinical Social Worker | 5395894570 | Practice locations: Topeka, KS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSCSW 1667 | KS | MD | Clinical Social Worker |
| LSCSW1667 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jody Koerner, Lscsw | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1667 | KS | |
| Clinical Social Worker | 1041C0700X | LSCSW1667 | KS | |
| Clinical Social Worker | 1041C0700X | LSCSW 1667 | KS | Yes |
Addresses
Primary practice location
6109 SW South Pointe Dr
Auburn, KS 66402-9533
Mailing address
6109 SW South Pointe Dr
Auburn, KS 66402-9533
Phone (785) 249-4847
Other providers in Auburn, KS
- Micheal L Betz
- Kathryn Sue Boyd
- Czerna Dreher
- Dana Ellis
- Ronald Leon Katzer
- On Target Case Management LLC
- Shelle Diane Peek
- Positive Behavior Supports Corp
- S & L Ranch, LLC
- Camille Taylor
All providers in Auburn, KS · Clinical Social Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.