Stacey Klempnauer MSW, Licsw Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STACEY KLEMPNAUER MSW, LICSW INC

Practice address

402 Washington St
Northfield, MN 55057-5190

Phone

(507) 645-0444

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Stacey Leigh Klempnauer, MSW, LICSWNPI 1528169554

Title

Psychotherapist

Phone

(507) 645-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Leigh Klempnauer, MSW, LICSW

  • Clinical Social Worker
  • Faribault, MN
  • NPI 1528169554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1346850518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 MICHIGAN DR",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550574834",
            "telephone_number": "507-645-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 WASHINGTON ST",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550575190",
            "telephone_number": "507-645-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY KLEMPNAUER MSW, LICSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "KLEMPNAUER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "507-645-0444",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528658100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Minnesota Midwifery Inc
• Sparrow Psychiatry LLC
• Speechgear, Inc.
• Julie C Spencer, APRN MN PMHNP-BC
• Shodo Janet Cedar Spring, M.S.W., LICSW
• Joan Marie Stage, OTR/L
• Trent Ronald Steenblock, DPM
• Abigail Michaela Stein, PT, DPT
• Mary Anne Stevens, MSW, LADC, LICSW
• Stewart Eyecare, Inc.

• Clinical Social Worker in Northfield, MN
• Providers in Northfield, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.