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MICHAEL KLINKNER
NPI 1417045063
Social Worker - Clinical in Mesa, AZ

Active since October 10, 2006Opted out of Medicare · through Oct 26, 2027
960 N STAPLEY DR, MESA, AZ 85203(480) 835-9692(480) 835-5457 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Klinkner NPPES

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

MICHAEL KLINKNER (NPI 1417045063) is an individual clinical provider in Mesa, Arizona, licensed in Arizona (LCSW - 10820) and active in the NPI registry since October 2006. He has opted out of Medicare through October 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417045063
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL KLINKNER
Location Address960 N STAPLEY DRMesa, AZ 85203-5604
Mailing AddressPo Box 5860Mesa, AZ 85211-5860
Phone(480) 835-9692
Fax(480) 835-5457
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417045063 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 AZ · LCSW - 10820
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.
960 N STAPLEY DR, Mesa, AZ 85203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael Klinkner 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 October 26, 2017 through October 26, 2027.

Opt-Out Effective DateOctober 26, 2017
Opt-Out In Effect ThroughOctober 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISA PALICH
Registered Nurse
960 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 835-9692
YESHIWORK ABAY ABEBE RN
Registered Nurse
960 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 835-9692
A NEW LEAF, INC. - CENTRAL CAMPUS SERVICES
Clinic/Center (Adolescent and Children Mental Health)
960 N STAPLEY DR, BUILDING 2 - 8 & 10
MESA, AZ 85203
Maricopa County (480) 969-4024
A NEW LEAF, INC.
Residential Treatment Facility, Emotionally Disturbed Children
960 N STAPLEY DR, BUILDING 1 AND 11
MESA, AZ 85203
Maricopa County (480) 835-9692
ERIKA KATHLEEN BARTESCH RN
Registered Nurse
960 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 835-9692
TERI RENEE COLE RN
Registered Nurse
960 N STAPLEY DR
MESA, AZ 85203
Maricopa County (480) 835-9692

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 Michael Klinkner's NPI number?

The NPI number for Michael Klinkner is 1417045063. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Michael Klinkner located?

Michael Klinkner practices at 960 N Stapley Dr, Mesa, AZ 85203. The listed phone number is (480) 835-9692.

What is Michael Klinkner's specialty?

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

Is Michael Klinkner enrolled in Medicare?

No. Michael Klinkner has opted out of Medicare through October 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Klinkner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.