MS. KHLOE JEAN PIERCE-ODEBUNMI APSW, SAC
NPI 1699211656
Social Worker in Baraboo, WI

Q: What is Khloe Pierce-odebunmi's NPI number?

The NPI number for Khloe Pierce-odebunmi is 1699211656. It was assigned to this individual provider in the NPPES registry on January 16, 2017.

Q: What is Khloe Pierce-odebunmi's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since January 16, 2017PECOS EnrolledAccepts Medicare Assignment

505 BROADWAY ST, BARABOO, WI 53913(608) 355-4200 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Jun 1, 2021, Apr 7, 2020 and 1 more (4 updates tracked since 2017).

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About Ms. Khloe Jean Pierce-odebunmi Apsw, Sac NPPES

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

MS. KHLOE JEAN PIERCE-ODEBUNMI APSW, SAC (NPI 1699211656) is an individual social worker in Baraboo, Wisconsin, licensed in Wisconsin (131637) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699211656

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. KHLOE JEAN PIERCE-ODEBUNMICredential: APSW, SAC

Location Address505 BROADWAY STBaraboo, WI 53913-2183

Mailing Address505 Broadway StBaraboo, WI 53913-2183 · (608) 355-4200

Phone(608) 355-4200

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 16, 2017

Last NPPES UpdateApril 28, 20264 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1699211656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WI · 131637

Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16215 (WI)

505 BROADWAY ST, Baraboo, WI 53913

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Khloe Jean Pierce-odebunmi Apsw, Sac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204225667

PECOS Enrollment IDI20211105001740

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

JENNIFER STUBER

Counselor (Addiction (Substance Use Disorder))