Individual provider Active NPI

Carol A Erdman, LCSW, CADCIII

  • Marriage & Family Therapist
  • Fort Atkinson, WI
National Provider Identifier
1124101951
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
335 Whitewater Ave
Fort Atkinson, WI 53538-2253
Phone
(920) 691-0200
Fax
(920) 691-0201
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10916 WI
Clinical Social Worker 1041C0700X 3697-123 WI
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

335 Whitewater Ave
Fort Atkinson, WI 53538-2253

Mailing address

335 Whitewater Ave
Fort Atkinson, WI 53538-2253
Phone (920) 691-0200

Other identifiers 1

IdentifierTypeStateIssuer
39799300MedicaidWI

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
I20090728000172 WI Practitioner - Clinical Social Worker 1850444613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Resources Associates IncGroup PAC ID 5991773699, 7 clinicians

Practice addresses (Care Compare)

1315 W Main St
Watertown, WI 53094-3564
Phone 92026141002170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10916WIMDProfessional Counselor
3697-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Resources Associates Inc CurrentSince Jul 1, 2009 Accepting new patients
Family Resources Associates Inc Past Accepting new patients

Locations

1315 W Main St
Watertown, WI 53094
Phone (920) 261-4100

Organizations & group practices 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124101951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 WHITEWATER AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382253",
            "telephone_number": "920-691-0200",
            "fax_number": "920-691-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 WHITEWATER AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382253",
            "telephone_number": "920-691-0200",
            "fax_number": "920-691-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "LCSW, CADCIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "10916",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3697-123",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39799300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

Verify at the official NPI Registry.