Kim M Herman, CSW,CADCIII

Primary specialty

Social WorkerTaxonomy code 104100000X

License

9050-120 Issued in WI

Practice address

199 Home Rd
Juneau, WI 53039-1401

Phone

(920) 386-3500

Fax

(920) 386-3812

NPI assigned

Sep 27, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kim M Woodworth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104917301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 HOME RD",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530391401",
            "telephone_number": "920-386-3500",
            "fax_number": "920-386-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 HOME RD",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530391401",
            "telephone_number": "920-386-3500",
            "fax_number": "920-386-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CSW,CADCIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1389",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "9050-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WOODWORTH",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "CSW,CADCIII",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Social Worker in Juneau, WI
• Providers in Juneau, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.