Jean M Kloska, LMSW, ACSW, CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801077986 Issued in MI

Practice address

119 S Heisterman St
Ste. 101
Bad Axe, MI 48413-1719

Phone

(198) 975-8039

Fax

(989) 372-9864

NPI assigned

Sep 5, 2006

Last updated

Nov 10, 2015By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Insight Healthcare, PLLC

  • Clinical Social Worker
  • Bad Axe, MI
  • NPI 1306217864
  Authorized official Same address or phone

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1750483137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S HEISTERMAN ST",
            "address_2": "STE. 101",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131719",
            "telephone_number": "198-975-8039",
            "fax_number": "989-372-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S HEISTERMAN ST",
            "address_2": "STE. 101",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131719",
            "telephone_number": "198-975-8039",
            "fax_number": "989-372-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSKA",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "LMSW, ACSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077986",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-01973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Hunt Massage Therapy
• Adalee Kaufman
• David Keller
• Ashley Kerr-Franzel, OD
• Nicole King, RDH
• John E Klosowski, DO
• Paige Klupp
• Juliann Koehn
• Catherine Ann Koglin, MS, LCGC
• Jeff Lenn Koglin

• Clinical Social Worker in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.