Kari Prestemon, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1232 Issued in MN

Practice address

220 Division St S
Northfield, MN 55057-2046

Phone

(507) 645-9304

NPI assigned

Jun 24, 2016

Last updated

Jun 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centered PracticeGroup PAC ID 8527232198, 7 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centered Practice

  • Community/Behavioral Health Agency
  • Northfield, MN
  • NPI 1235428665
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1396196945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HAYES DR",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573539",
            "telephone_number": "507-649-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DIVISION ST S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572046",
            "telephone_number": "507-645-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTEMON",
        "first_name": "KARI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Raphael Pierskalla, RPH
• Carolyn Jean Poblocki, PT
• Justine Faye Politz, CNP
• Amanda Corey Porter, PSY.D
• Prairie Creek Community School
• Adam Eric Price, PHARMD
• Teresa Ann Price
• Nathan Prissel, PT, DPT
• Professional Drive Dental Group P.a.
• Taylor Quandt, DPT

• 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 Jun 24, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.