Individual provider Active NPI

Terri S. Klingelhoefer, MSW

  • Clinical Social Worker
  • Linton, IN
National Provider Identifier
1497056006
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99044244A Issued in IN
Practice address
PO Box 553
Linton, IN 47441-0553
Phone
(812) 847-4435
NPI assigned
Nov 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 99044244A IN Primary

Addresses

Primary practice location

PO Box 553
Linton, IN 47441-0553

Mailing address

2125 16TH St
Bedford, IN 47421-3003
Phone (812) 275-4053

Other practice location 1

488 W. Hospital Road
Paoli, IN 47454-0071
Phone (812) 723-4301

Other practice location 2

PO Box 553
Linton, IN 47441-0553
Phone (812) 847-4435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180319001303 IN Practitioner - Clinical Social Worker 6002178662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hoosier Uplands Economic Development Corporation 6 clinicians

Practice addresses (Care Compare)

2125 16TH St
Bedford, IN 47421-3003
Phone (812) 275-4053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99044244AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Center, Inc. CurrentSince Feb 14, 2018 Accepting new patients
Hoosier Uplands Economic Development Corporation CurrentSince Jan 21, 2019 Accepting new patients
Hamilton Center Inc. CurrentSince Feb 14, 2018 Accepting new patients
Well House Counseling Clinical PastSince Sep 10, 2023 Accepting new patients

Locations

2125 16th St
Bedford, IN 47421
Phone (812) 275-4053

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1497056006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213003",
            "telephone_number": "812-275-4053",
            "fax_number": "812-275-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 553",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474410553",
            "telephone_number": "812-847-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "488 W. Hospital Road",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "IN",
            "postal_code": "474540071",
            "country_code": "US",
            "telephone_number": "812-723-4301",
            "fax_number": "812-723-4306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 553",
            "address_purpose": "LOCATION",
            "city": "Linton",
            "state": "IN",
            "postal_code": "474410553",
            "country_code": "US",
            "telephone_number": "812-847-4435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINGELHOEFER",
        "first_name": "TERRI",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "99044244A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linton, IN

Sources for this page

Verify at the official NPI Registry.