Cory Kloehn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006161 Issued in NC

Practice address

14 Tri Park Way
Appleton, WI 54914-6430

Phone

(920) 831-0070

Fax

(920) 733-3822

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1407051212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1844 SMOKEY CT",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428580",
            "telephone_number": "919-917-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TRI PARK WAY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549146430",
            "telephone_number": "920-831-0070",
            "fax_number": "920-733-3822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053875",
            "country_code": "US",
            "telephone_number": "919-286-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOEHN",
        "first_name": "CORY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Emily Klingberg, COUNSELOR
• Anthony Edward Klingert
• Molly Ann Klinner
• Susan Schuster Klobucarich, DDS
• Amy L Kloehn
• Rebecca Ann Kloehn, NP
• Amalia Klosiewski, PTA
• Denise C Klubertanz-Berge, NP
• Klusendorf Chiropractic SC
• Bryan J Klusendorf, DC

• Clinical Social Worker in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.