Provider Demographics
NPI:1215725825
Name:KLEMME, JENNIFER R (LMSW)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:R
Last Name:KLEMME
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 S CHARLESTON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4370
Mailing Address - Country:US
Mailing Address - Phone:417-844-3533
Mailing Address - Fax:
Practice Address - Street 1:4235 S CHARLESTON AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4370
Practice Address - Country:US
Practice Address - Phone:417-844-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025013179104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker