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JENNIFER LAUREN KOON LMSW
NPI 1770859902
Social Worker - Clinical in Oswego, NY

Active since April 02, 2012PECOS Enrolled
74 BUNNER ST, OSWEGO, NY 13126(315) 326-4100 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Lauren Koon Lmsw NPPES

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

JENNIFER LAUREN KOON LMSW (NPI 1770859902) is an individual clinical provider in Oswego, New York, licensed in New York (085576-1) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1770859902
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER LAUREN KOONCredential: LMSW
Location Address74 BUNNER STOswego, NY 13126-3357
Mailing Address74 Bunner StOswego, NY 13126-3357 · (315) 326-4100
Phone(315) 326-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 2, 2012
✔ NPI 1770859902 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 NY · 085576-1
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.
74 BUNNER ST, Oswego, NY 13126
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lauren Koon Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426479262
PECOS Enrollment IDI20200602002219
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

CATHERINE LEAH BARRY RN
Registered Nurse
74 BUNNER ST
OSWEGO, NY 13126
Oswego County (315) 326-4100
SUSAN MARIE FAMILO
Case Manager/Care Coordinator
74 BUNNER ST
OSWEGO, NY 13126
Oswego County (315) 326-4101
MS. JO-AN STONE
Case Manager/Care Coordinator
74 BUNNER ST
OSWEGO, NY 13126
Oswego County (315) 326-4162
DAWN MARIE FARLEY LCSW
Social Worker (Clinical)
74 BUNNER ST
OSWEGO, NY 13126
Oswego County (315) 343-8162
OSWEGO HEALTH
Intermediate Care Facility, Mental Illness
74 BUNNER ST
OSWEGO, NY 13126
Oswego County (315) 326-4277
LINDA NICHOLAS LMSW
Social Worker (Clinical)
74 BUNNER ST
OSWEGO, NY 13126
Oswego County (315) 326-4176
TARA AMMERSEN LCSW
Social Worker
74 BUNNER ST
OSWEGO, NY 13126
Oswego County (315) 326-4167
RANDI FRANCES SHERMAN LMSW
Social Worker (Clinical)
74 BUNNER ST
OSWEGO, NY 13126
Oswego County (315) 326-4100

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 Jennifer Koon's NPI number?

The NPI number for Jennifer Koon is 1770859902. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Jennifer Koon located?

Jennifer Koon practices at 74 Bunner St, Oswego, NY 13126. The listed phone number is (315) 326-4100.

What is Jennifer Koon's specialty?

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

Is Jennifer Koon enrolled in Medicare?

Yes. Jennifer Koon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Koon was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.