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Khloe Jean Pierce-Odebunmi , APSW, SAC

Social Worker β€’ Baraboo, WI

Active NPI 1699211656 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

505 Broadway St
Baraboo, WI 539132183

Call 6083554200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

505 Broadway St

Baraboo, WI 539132183

Telephone 6083554200
Organization at the Same NPPES Address or Phone
County Of Sauk Facility NPI 1508915323

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sauk County. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Khloe Pierce-Odebunmi has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Khloe Pierce-Odebunmi as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Baraboo and Wisconsin

27 active clinicians are listed under Social Worker with a practice address in Baraboo, WI (1,916 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baraboo

3.7% of these 27 clinicians have the CMS telehealth indicator.

7.4% of these 27 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-28
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES WI 131637

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES WI 16215
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20211105001740

Enrollment State Jurisdiction

WI

PECOS Control ID

6204225667

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sauk County

505 Broadway St, Baraboo, WI 539132183

Phone: 6083554200

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 28, 2026

Recorded as KHLOE PIERCE-ODEBUNMI, APSW, SAC

πŸ‘€
Provider Name / Credentials Updated June 01, 2021

Recorded as KHLOE PIERCE, APSW, SAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2021

Social Worker (license number reported to NPPES: WI 131637)

πŸ“
Updated Practice Location April 07, 2020

Registered at 505 BROADWAY ST, BARABOO, WI 539132183 (Tel: 6083554200)

πŸ“
Updated Business Mailing Address April 07, 2020

Registered at 505 BROADWAY ST, BARABOO, WI 539132183 (Tel: 6083554200)

πŸ‘€
Provider Name / Credentials Updated April 07, 2020

Recorded as KHLOE PIERCE-BATES, APSW, SAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2020

Counselor (license number reported to NPPES: WI 16215)

βœ…
NPI Profile Active January 16, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 16, 2017

Registered at 414 BROADWAY ST STE 101, BARABOO, WI 539132488 (Tel: 6084024312)

πŸ“
Business Mailing Address (Initial Record) January 16, 2017

Registered at 414 BROADWAY ST STE 101, BARABOO, WI 539132488 (Tel: 6084024312)

πŸ‘€
Provider Name / Credentials (Initial Record) January 16, 2017

Recorded as KHLOE PIERCE, SAC-IT, SW-IT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2017

Counselor (license number reported to NPPES: WI 17819)

🟒
Initial NPI Registration & Enumeration January 16, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699211656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2017
Last Update: April 28, 2026
Sole Proprietor: No

Mailing Address

505 Broadway St

Baraboo, WI 539132183

Phone: 6083554200

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.