Active NPI
Nancy Catherine Koepke, LMSW
- Social Worker
- Rock Island, IL
National Provider Identifier
1891945911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 211 19TH Street
Rock Island, IL 61201-7164 - Phone
- (309) 786-3591
- Fax
- (309) 786-3591
- NPI assigned
- Sep 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
211 19TH Street
Rock Island, IL 61201-7164
Mailing address
211 19TH St
Rock Island, IL 61201-8028
Phone (309) 786-3591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06082 | Other | IA | NASW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1891945911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 19TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612018028",
"telephone_number": "309-786-3591",
"fax_number": "309-786-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 19TH STREET",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612017164",
"telephone_number": "309-786-3591",
"fax_number": "309-786-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEPKE",
"first_name": "NANCY",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NASW",
"identifier": "06082",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.