BROOKE J KLEEBERGER (NPI# 1114464583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114464583 |
| Entity Type | Individual |
| Full Name | BROOKE J KLEEBERGER |
| Credential | LISW |
| Practice Address |
725 S Shoop Ave Wauseon OH 43567-1702 |
| Practice Telephone | 4193302790 |
| Practice Fax Number | 4193302774 |
| Mailing Telephone | 4193302790 |
| Mailing Fax Number | 4193302774 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | I.1700027 | OH | Behavioral Health & Social Service Providers |
| Street Address |
725 S SHOOP AVE |
| City | WAUSEON |
| State | OH |
| Zip Code | 43567-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396712683 | Charles David Sr. | Emergency Medicine | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2006-03-05 |
| 1023670395 | Erica Elling | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2019-07-08 |
| 1194223347 | Justin M Sauder | Nurse Anesthetist, Certified Registered | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2018-01-23 |
| 1922515766 | Brad A Glanz | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2018-01-02 |
| 1316464548 | Maren Williams | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-08-28 |
| 1629506167 | Morgan Nichole Wright | Physical Therapist | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-05-29 |
| 1780122697 | Tonya Gomez | Dietitian, Registered | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2017-02-10 |
| 1609324748 | Denise Nofziger | Nurse Practitioner | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2016-09-19 |
| 1477000248 | Tamara Martin | Nurse Practitioner | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2016-09-08 |
| 1538539457 | Glenda R Ferris | Social Worker | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700302619 | Lisa Michelle Aschliman | Physical Therapy Assistant | 138 E Elm St. Fulton Co Health Center Rehab, Wauseon, OH 43567 | 2017-08-22 |
| 1245755164 | Kimberly Sue Fall | Home Health | 847 Wood Street, Wauseon, OH 43567 | 2017-08-11 |
| 1639580160 | Julie Ann Leatherman | Social Worker | 241 Philomena Dr, Wauseon, OH 43567 | 2014-05-19 |
| 1194054916 | Jessica Sue Demaline | Social Worker | 7320 State Hughway 108, Suite A, Wauseon, OH 43567 | 2009-12-08 |
| 1659503043 | Crissi L Stuckey | Physical Therapist | 303 West Leggett Street, Wauseon, OH 43567 | 2009-08-18 |
| 1912194614 | Family Services of Nw Ohio Suite 414 Toledo, Ohio 43604 | Community/Behavioral Health | 7320 State Hwy 108, Wauseon, OH 43567 | 2007-09-27 |
| 1750508768 | Renal Treatment Centers Illinois Inc | Clinic/Center | 721 S Shoop Ave, Wauseon, OH 43567 | 2007-04-19 |
| 1922155563 | Sema Justus Fofung | Specialist | 735 South Shoop Avenue, Suite 3, Wauseon, OH 43567 | 2007-01-05 |
| 1679679948 | Jessye Hartman | Physical Therapist | 138 E Elm St, Wauseon, OH 43567 | 2006-09-15 |
| 1336155837 | James A Williams | Chiropractor | 1485 N Shoop Ave, Wauseon, OH 43567 | 2006-08-01 |
| Find all providers in zip 43567 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881130433 | Breanna Zipfel | Social Worker | 7320 State Route 108, Wauseon, OH 43567-8200 | 2017-01-06 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1588111637 | Jacqueline Wallischeck | Social Worker | 259 W Elm St, Wauseon, OH 43567-1146 | 2016-09-07 |
| 1194054916 | Jessica Sue Demaline | Social Worker | 7320 State Hughway 108, Suite A, Wauseon, OH 43567 | 2009-12-08 |
| 1033375498 | Carol Vasko | Social Worker | 1115-1 N. Shoop Ave., Wauseon, OH 43567-0146 | 2008-08-05 |
| 1548700883 | Kelly Cohoon | Social Worker | 7320 State Highway 108, Suite A, Wauseon, OH 43567-8200 | 2017-03-06 |
| 1023554862 | Susan Smith | Social Worker | 7320 State Route 108, Wauseon, OH 43567-8200 | 2017-01-18 |
| 1821533498 | Sara Beck | Social Worker | 7320 State Highway 108 Ste A, Wauseon, OH 43567-8201 | 2017-01-05 |
| 1538539457 | Glenda R Ferris | Social Worker | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2015-10-05 |
| 1215306162 | Dianne Lumbrezer | Social Worker | 725 S Shoop Ave, Wauseon, OH 43567-1702 | 2015-09-22 |
| Find all providers in WAUSEON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.