Kathy Lynn Pfaffe, LPSW, LPC, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2010034145 Issued in MO

Practice address

1221 Broadway
Hannibal, MO 63401-4005

Phone

(573) 221-2111

NPI assigned

Feb 5, 2010

Last updated

Jun 29, 2023By 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

Other names 1

• Kathy Buck Former name

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

White Oak Counseling LLCGroup PAC ID 3173613163, 7 clinicians

Practice addresses (Care Compare)

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.

• White Oak Counseling, LLC

  • Clinical Social Worker
  • Hannibal, MO
  • NPI 1750586103
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1841522513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 1/2 N 18TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013112",
            "telephone_number": "573-217-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BROADWAY",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634014005",
            "telephone_number": "573-221-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 S 36th St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623016005",
            "country_code": "US",
            "telephone_number": "573-217-7797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFAFFE",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "credential": "LPSW, LPC, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "150.002540",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2010034145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "BUCK",
            "credential": "LPSW, LPC, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hemal M Patel, D.O.
• Paul Tracy OD
• Allie Pennewell, DNP, CRNA
• Veronica Perkins, LCSW
• Kim M Peters, ANP
• Ryan A Pickett, PLPC
• Melinda Pickins
• Fe Maria A Pimentel-Yager, MD
• Christina M Plenge, MSW, LCSW
• Prashanth Podaralla, M.D.

• Social Worker in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.