Lifting Hearts Wellness Clinic LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFTING HEARTS WELLNESS CLINIC LLC

Practice address

2300 E Racine St
Janesville, WI 53545-4368

Phone

(608) 305-4581

NPI assigned

Jul 20, 2026

Organization subpart

No

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

Authorized official

Name

Kassandra Wilson, LCSW

Title

Psychotherapist

Phone

(608) 305-4581

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1134049125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E RACINE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454368",
            "telephone_number": "608-305-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E RACINE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454368",
            "telephone_number": "608-305-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFTING HEARTS WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KASSANDRA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-305-4581",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Janesville, WI
• Providers in Janesville, 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 Jul 20, 2026; 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.