Katrina Arnold

Key facts

NPI

1104337880

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

Practice address

1466 Water St Ste 2
Stevens Point, WI 54481-2915

Phone

(715) 341-6672

Fax

(715) 341-8004

NPI assigned

Oct 20, 2017

Sex

Female

Sole proprietor

Yes

Organizations & group practices 5

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.

• La Clinica de Los Campesinos, Inc Federally Qualified Health Center (FQHC) · Stevens Point, WI · NPI 1790786929
  Medicare reassignment Care Compare group NPD WI
• La Clinica de Los Campesinos, Inc Pharmacy · Wautoma, WI · NPI 1174322846
  Care Compare group NPD
• La Clinica de Los Campesinos, Inc Clinic Pharmacy · Stevens Point, WI · NPI 1952027609
  Care Compare group
• Advocate Psychotherapy Services LLC Community/Behavioral Health Agency · Stevens Point, WI · NPI 1457619389
  NPD (past)
• Children'S Service Society of Wisconsin Professional Counselor · Stevens Point, WI · NPI 1255505020
  NPD (past)

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Clinica de Los Campesinos, Inc (21 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2019.

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1104337880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544810959",
            "telephone_number": "715-544-4435",
            "fax_number": "715-952-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 WATER ST STE 2",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812915",
            "telephone_number": "715-341-6672",
            "fax_number": "715-341-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "KATRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104337880",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

• Andrew E. Crow, D.D.S., S.C.
• Ryan M Andrews, MD
• Anovia Health Ins, SC
• Lloyd H. Anseth, DDS
• Jordan Armstrong, SLP
• Lloyd H Arnold, MD
• Arrow Academy Inc
• Arrowhead Dental Center SC
• Arrowhead Dental Center,SC
• Ascension St Michael'S Hospital, Inc

All providers in Stevens Point, WI · Social Worker in Wisconsin