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MR. THOMAS DAVID KLOPFENSTEIN MSW LCSW LCAC NPI 1790778124


NPI Information

NPI: 1790778124
Provider Name: MR. THOMAS DAVID KLOPFENSTEIN, MSW LCSW LCAC
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
310 N MICHIGAN ST
SUITE 208
PLYMOUTH, IN
ZIP 46563
Phone: (574) 935-9449
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MR. Thomas David Klopfenstein, MSW LCSW LCAC is a social worker in Plymouth, IN. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MR. Thomas David Klopfenstein, MSW LCSW LCAC NPI is 1790778124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

310 N MICHIGAN ST
SUITE 208
PLYMOUTH, IN
ZIP 46563-770
Phone: (574) 935-9449
Fax: (574) 935-3956

The enumeration date for this NPI number is 8/31/2005 and was last updated on 1/20/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)87000150AINDIANANo
2104100000XSocial Worker34004597AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100114180MEDICAIDINDIANA
2200095080AMEDICAIDINDIANA
3512560FMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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