Individual provider Active NPI

Mary Kay Howie, LCSW

  • Clinical Social Worker
  • Sheboygan, WI
National Provider Identifier
1063465151
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2039 Issued in WI
Practice address
4027 S Business Dr Ste 205
Sheboygan, WI 53081-1258
Phone
(920) 459-9277
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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 2039 WI Primary

Addresses

Primary practice location

4027 S Business Dr Ste 205
Sheboygan, WI 53081-1258

Mailing address

4027 S Business Dr Ste 205
Sheboygan, WI 53081-1258
Phone (920) 459-9277

Other identifiers 1

IdentifierTypeStateIssuer
39268000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000862 WI Practitioner - Clinical Social Worker 4587557467 Practice locations: Sheboygan, WI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4027 S Business Dr
Sheboygan, WI 53081-1261
Phone (920) 459-9277

5934 S Business Dr
Sheboygan, WI 53081-8914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2039WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wholistic Health Counseling Services PastSince May 1, 2014 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1063465151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 S BUSINESS DR STE 205",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811258",
            "telephone_number": "920-459-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 S BUSINESS DR STE 205",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811258",
            "telephone_number": "920-459-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWIE",
        "first_name": "MARY KAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39268000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.