Donna Peissner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002241 Issued in MO

Practice address

1410 Crown Dr
Kirksville, MO 63501-2548

Phone

(660) 627-3621

NPI assigned

Dec 20, 2005

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northeast Missouri Health Council, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kirksville, MO
  • NPI 1104829498

  Clinical

  Medicare reassignment NPD
• Northeast Missouri Health Council Inc

  • Psychologist
  • Kirksville, MO
  • NPI 1336679836
  NPD
• Northeast Missouri Health Council Inc

  • Internal Medicine Physician
  • Memphis, MO
  • NPI 1881307155
  NPD

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1285610303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CROWN DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012548",
            "telephone_number": "660-627-5757",
            "fax_number": "660-627-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CROWN DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012548",
            "telephone_number": "660-627-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Crown Dr",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635012553",
            "country_code": "US",
            "telephone_number": "660-627-3621",
            "fax_number": "660-627-5798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEISSNER",
        "first_name": "DONNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496688847",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pooja Patel
• Priya Patel
• Zina Patel
• Tony Paul Pathadan, DO
• Patient Advocate Radiology, PC
• Nina Pelto
• Isabel Peng
• Grace Pepple
• Keith Xavier Pereira
• Katie Peters, LPC

• Clinical Social Worker in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.