Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John O Klott

Individual provider Clinical Social Worker · NPI 1194413013

Mr. John O Klott is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 1972, 54 years ago. Practices with River City Psychological Services PC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
54
In the registry since
2023
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Practice location Address checks out

1000 Monroe Ave NW
Grand Rapids, MI 49503-1455
Phone: (616) 259-7207
Fax: (616) 259-7261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1194413013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 27, 2023
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing address338 Parkside Ln, Douglas, MI 49406-5120

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice River City Psychological Services Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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