Kacey M Lombard, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9676 Issued in WI

Practice address

304 Bickford St
New Lisbon, WI 53950-1533

Phone

(608) 562-3976

NPI assigned

Sep 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Grace Counseling & Family Services S.C

  • Marriage & Family Therapist
  • New Lisbon, WI
  • NPI 1477178473
  NPD
• Innervisions Counseling & Consulting Center, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baraboo, WI
  • NPI 1639402902

  Clinical

  NPD (past)

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1114446390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 2ND ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591614",
            "telephone_number": "608-415-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BICKFORD ST",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539501533",
            "telephone_number": "608-562-3976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 State Road 136 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Baraboo",
            "state": "WI",
            "postal_code": "539139252",
            "country_code": "US",
            "telephone_number": "608-477-9858",
            "fax_number": "877-560-0578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMBARD",
        "first_name": "KACEY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131274-121",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Lynn Holly-Bixby, BA
• John Humphries, ED. S.
• Natasha A Jones, MS, LPC
• Leigha A Katuin, DC
• Courtney Joy Langendorf
• Angela G Mann, RN, CH
• Janna Marie Marschall, MSMHC, LPC, NCC
• MBMC Mauston Phillips, LLC
• MBMC Raabe Pharmacy, LLC
• Mile Bluff Medical Center Inc

• Clinical Social Worker in New Lisbon, WI
• Providers in New Lisbon, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.