Kaitlin Marie Koogle, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.1802125 Issued in OH

Practice address

50 Greenwood LN
Springboro, OH 45066

Phone

(937) 746-1154

Fax

(937) 746-8523

NPI assigned

Aug 30, 2017

Sex

Female

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1649798695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COOK RD STE 400",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369600",
            "telephone_number": "513-228-7800",
            "fax_number": "513-725-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GREENWOOD LN",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "45066",
            "telephone_number": "937-746-1154",
            "fax_number": "937-746-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOGLE",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1802125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Teresa Knapke, O.D.
• Haley M Kocol
• Andee Koczak, RD LD
• Emma Gome Koffi, LPN
• Durham Koller
• Pamela Jane Kraft, NP-C
• Patricia Ann Kramer, LMT
• Krisell D. Fedrizzi, D.O.
• Kroger Limited Partnership I
• Patricia A. Kuhlman, L.P.C.C.

• Clinical Social Worker in Springboro, OH
• Providers in Springboro, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.