Charlene Kremm, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20175 Issued in FL

Practice address

3341 Youree Dr Ste 101
Shreveport, LA 71105-2125

Phone

(318) 219-4167

NPI assigned

Oct 28, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment NPD
• Mindful Mental Health Services - FL Gulf SW LLC

  • Clinical Social Worker
  • Longboat Key, FL
  • NPI 1568121267
  Medicare reassignment NPD

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1407308158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W 6TH ST",
            "city": "FROSTPROOF",
            "state": "FL",
            "postal_code": "338432320",
            "telephone_number": "318-185-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 YOUREE DR STE 101",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052125",
            "telephone_number": "318-219-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMM",
        "first_name": "CHARLENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023574400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Koveleskie
• Elise Kayser Kowalewski, PA
• Albert Nolen Krause, M.D.
• Amber Michelle Kreko
• Jessica Kremeier, PHARMD
• Robert L. Krenek Jr.
• Annika Kreye, MD
• Krishna R. Singh MD Apmc
• Prathik Krishnan, M.D.
• Kristi Michael MD and Willis Knighton Medical Center

• Clinical Social Worker in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.