Individual provider Active NPI

Claire Ae Kulibert, MSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1053141689
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12937-123 Issued in WI
Practice address
2702 International LN Ste 102
Madison, WI 53704-3117
Phone
(608) 405-5712
Fax
(608) 268-9780
NPI assigned
Aug 7, 2024
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12937-123 WI Primary

Addresses

Primary practice location

2702 International LN Ste 102
Madison, WI 53704-3117

Mailing address

PO Box 301
Portage, WI 53901-0301
Phone (608) 742-5518

Other practice location 1

1341 Park Ave
Columbus, WI 53925-1614
Phone (920) 623-5578

Other identifiers 1

IdentifierTypeStateIssuer
1053141689MedicaidWI

Other names 1

  • Claire Ae Luebke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Wisconsin School of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1002 Lincoln Ave
Baraboo, WI 53913-1808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134969-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Service Associates, SC PastSince Aug 11, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1053141689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539010301",
            "telephone_number": "608-742-5518",
            "fax_number": "608-268-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 INTERNATIONAL LN STE 102",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043117",
            "telephone_number": "608-405-5712",
            "fax_number": "608-268-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "WI",
            "postal_code": "539251614",
            "country_code": "US",
            "telephone_number": "920-623-5578",
            "fax_number": "608-268-9780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULIBERT",
        "first_name": "CLAIRE",
        "middle_name": "AE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12937-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053141689",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "LUEBKE",
            "middle_name": "AE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.