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BETH ANN KOENEMANN LCSW
NPI 1912760653
Social Worker - Clinical in Fort Wayne, IN

Active since February 05, 2024PECOS Enrolled
2712 S CALHOUN ST, FORT WAYNE, IN 46807(260) 744-4326(260) 744-0188 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beth Ann Koenemann Lcsw NPPES

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

BETH ANN KOENEMANN LCSW (NPI 1912760653) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34010829A) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912760653
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETH ANN KOENEMANNCredential: LCSW
Location Address2712 S CALHOUN STFort Wayne, IN 46807-1402
Mailing Address2712 S Calhoun StFort Wayne, IN 46807-1402
Phone(260) 744-4326
Fax(260) 744-0188
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1912760653 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 · 34010829A
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.
2712 S CALHOUN ST, Fort Wayne, IN 46807
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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)

Beth Ann Koenemann Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264929769
PECOS Enrollment IDI20251017000739
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 46807 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 19

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

TRACY B. HERSHBERGER LMHC
Counselor (Mental Health)
2712 S CALHOUN ST
FORT WAYNE, IN 46807
Allen County (260) 744-4326
KRISTINE HAWORTH CONNERLY LMFT,LSW
Social Worker
2712 S CALHOUN ST
FORT WAYNE, IN 46807
Allen County (260) 744-4326
VANESSA JONES LMHC
Counselor (Mental Health)
2712 S CALHOUN ST
FORT WAYNE, IN 46807
Allen County (260) 744-4326
SUSAN C RINGLE MSW, LCSW
Social Worker (Clinical)
2712 S CALHOUN ST
FORT WAYNE, IN 46807
Allen County (260) 744-4326
JADE MILLIMAN LCSW
Social Worker (Clinical)
2712 S CALHOUN ST
FORT WAYNE, IN 46807
Allen County (260) 744-4326
AKENYA COOPER
Counselor (Mental Health)
2712 S CALHOUN ST
FORT WAYNE, IN 46807
Allen County (260) 744-4326
DIANA MOORE LMFT, LMHC
Counselor (Mental Health)
2712 S CALHOUN ST
FORT WAYNE, IN 46807
Allen County (260) 744-4326
CONNIE CARMAN LCSW, LCAC
Social Worker (Clinical)
2712 S CALHOUN ST
FORT WAYNE, IN 46807
Allen County (260) 744-4326

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 Beth Koenemann's NPI number?

The NPI number for Beth Koenemann is 1912760653. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Beth Koenemann located?

Beth Koenemann practices at 2712 S Calhoun St, Fort Wayne, IN 46807. The listed phone number is (260) 744-4326.

What is Beth Koenemann's specialty?

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

Is Beth Koenemann enrolled in Medicare?

Yes. Beth Koenemann is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beth Koenemann was last updated on February 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.