Individual provider Active NPI

Constance R Koerner, LCSW

  • Clinical Social Worker
  • Cape Girardeau, MO
National Provider Identifier
1386108181
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017029577 Issued in MO
Practice address
2430 Golden St
Cape Girardeau, MO 63703-5770
Phone
(573) 332-0808
Fax
(573) 339-7945
NPI assigned
Jan 25, 2019
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 2017029577 MO Primary

Addresses

Primary practice location

2430 Golden St
Cape Girardeau, MO 63703-5770

Mailing address

408 S Broadview St
Cape Girardeau, MO 63703-5725
Phone (573) 332-0808

Other practice location 1

408 S Broadview St
Cape Girardeau, MO 63703-5725
Phone (573) 332-0808

Other names 1

  • Constance Koerner Miller Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230424001716 MO Practitioner - Clinical Social Worker 5092170258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cross Trails Medical CenterGroup PAC ID 8820902851, 9 clinicians

Practice addresses (Care Compare)

109 State Hwy 51 N
Marble Hill, MO 63764-9151
Phone (573) 238-2725

2430 Golden St
Cape Girardeau, MO 63703-5770
Phone (573) 332-0808

307 W Gabriel St
Advance, MO 63730-8301
Phone (573) 722-3034

408 S Broadview St
Cape Girardeau, MO 63703-5725
Phone (573) 332-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Trails Medical Center CurrentSince Jan 19, 2023 Accepting new patients
Cross Trails Medical Center CurrentSince Jan 19, 2023 Accepting new patients
Cross Trails Medical Center Past Accepting new patients

Locations

307 W Gabriel St
Advance, MO 63730
Phone (573) 332-0808

2430 Golden St
Cape Girardeau, MO 63703
Phone (573) 332-0808

408 S Broadview St
Cpe Girardeau, MO 63703
Phone (573) 332-0808

109 State Highway 51 N
Marble Hill, MO 63764
Phone (573) 238-1110

1314 Brenda Ave
Perryville, MO 63775
Phone (573) 332-0808

Organizations & group practices 3

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1386108181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-332-0808",
            "fax_number": "573-339-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 GOLDEN ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035770",
            "telephone_number": "573-332-0808",
            "fax_number": "573-339-7945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 S Broadview St",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637035725",
            "country_code": "US",
            "telephone_number": "573-332-0808",
            "fax_number": "573-339-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "CONSTANCE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017029577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "KOERNER MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.