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JONNA BULLER MSW,LCSW
NPI 1093176463
Social Worker - Clinical in North Webster, IN

Active since March 14, 2016Opted out of Medicare · through Feb 13, 2028
225 N. MAIN ST., STE 5, NORTH WEBSTER, IN 46555(574) 834-1393(833) 527-8322 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 6, 2020, Oct 22, 2019, Mar 14, 2016 (3 updates tracked since 2016).

About Jonna Buller Msw,lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONNA BULLER MSW,LCSW (NPI 1093176463) is an individual clinical provider in North Webster, Indiana, licensed in Indiana (34008756A) and active in the NPI registry since March 2016. She has opted out of Medicare through February 13, 2028.

NPPES Registry Identity

NPI1093176463
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJONNA BULLERCredential: MSW,LCSW
Location Address225 N. MAIN ST., STE 5North Webster, IN 46555
Mailing AddressPo Box 751North Webster, IN 46555-0751 · (574) 834-1393 · Fax (833) 527-8322
Phone(574) 834-1393
Fax(833) 527-8322
Sole ProprietorNo
Enumeration DateMarch 14, 2016
Last NPPES UpdateJanuary 6, 20203 updates tracked since enumeration
✔ NPI 1093176463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34008756A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
225 N. MAIN ST., STE 5, North Webster, IN 46555
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jonna Buller Msw,lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2024 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2024
Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonna Buller's NPI number?

The NPI number for Jonna Buller is 1093176463. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Jonna Buller located?

Jonna Buller practices at 225 N. Main St., Ste 5, North Webster, IN 46555. The listed phone number is (574) 834-1393.

What is Jonna Buller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jonna Buller enrolled in Medicare?

No. Jonna Buller has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jonna Buller accept?

Health plans from UnitedHealthcare list Jonna Buller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonna Buller was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.