Individual provider Active NPI

Jami Obermann, LCSW

  • Clinical Social Worker
  • Cape Girardeau, MO
National Provider Identifier
1558890145
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2019023025 Issued in MO
Practice address
528 Helena St
Cape Girardeau, MO 63701-5133
Phone
(573) 388-2246
NPI assigned
Jun 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2017016550 MO
Clinical Social Worker 1041C0700X 2019023025 MO Primary

Addresses

Primary practice location

528 Helena St
Cape Girardeau, MO 63701-5133

Mailing address

528 Helena St
Cape Girardeau, MO 63701-5133
Phone (573) 388-2246

Other practice location 1

402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone (573) 334-1100

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
I20190801003342 MO Practitioner - Clinical Social Worker 8325374093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immediate Convenient Care LLCGroup PAC ID 0648313486, 23 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

1702 N Kingshighway
Cape Girardeau, MO 63701-2122

1702 N Kingshighway St
Cape Girardeau, MO 63701-2122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017016550MOMDSocial Worker
2019023025MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Missouri Delta Medical Center CurrentSince Jan 12, 2021 Accepting new patients
Saint Francis Medical Center Clinical CurrentSince Aug 28, 2023 Accepting new patients
Missouri Delta Medical Center CurrentSince Jan 12, 2021 Accepting new patients
Jami Obermann Counseling Current Accepting new patients
Saint Francis Medical Center CurrentSince Aug 28, 2023 Accepting new patients
Dale and Hancock Center LLC PastSince Jan 1, 2021 Accepting new patients

Locations

1702 N Kingshighway St
Cpe Girardeau, MO 63701
Phone (573) 339-0483

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Organizations & group practices 7

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558890145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 HELENA ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015133",
            "telephone_number": "573-388-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 HELENA ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015133",
            "telephone_number": "573-388-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 S Silver Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637037536",
            "country_code": "US",
            "telephone_number": "573-334-1100",
            "fax_number": "573-651-4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERMANN",
        "first_name": "JAMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2017016550",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019023025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.