Khloe Jean Pierce-Odebunmi, APSW, SAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

131637 Issued in WI

Practice address

505 Broadway St
Baraboo, WI 53913-2183

Phone

(608) 355-4200

NPI assigned

Jan 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sauk CountyGroup PAC ID 7618931148, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Sauk County

  • Skilled Nursing Facility
  • Reedsburg, WI
  • NPI 1528056819
  Medicare reassignment Care Compare group NPD
• County of Sauk

  • Community/Behavioral Health Agency
  • Baraboo, WI
  • NPI 1508915323
  NPD
• Sauk County

  • Public Health or Welfare Agency
  • Baraboo, WI
  • NPI 1962535088
  NPD
• Tellurian, Inc.

  • Community/Behavioral Health Agency
  • Baraboo, WI
  • NPI 1104279330
  NPD (past)

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1699211656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BROADWAY ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132183",
            "telephone_number": "608-355-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BROADWAY ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132183",
            "telephone_number": "608-355-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE-ODEBUNMI",
        "first_name": "KHLOE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "APSW, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131637",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Peper, NP
• Lisa Marie Peterson, O.D.
• Joel D Petty
• Jamie R Petzke, MD
• Linda J. Pfeiffer, M.S.
• Gina Pierce, LPTA
• Stephanie Pierce, R.N.
• Bonita Marie Platta, MS
• Pleasant Valley Behavioral Services LLC
• Michael Dwain Plooster, MD

• Social Worker in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.