Individual provider Active NPI

Kendra Rezner, APSW

  • Clinical Social Worker
  • Monroe, WI
National Provider Identifier
1154871291
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130203 Issued in WI
Practice address
N3152 State Road 81
Monroe, WI 53566-8821
Phone
(608) 328-9393
Fax
(608) 324-9480
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 130203 WI Primary

Addresses

Primary practice location

N3152 State Road 81
Monroe, WI 53566-8821

Mailing address

N3152 State Road 81
Monroe, WI 53566-8821
Phone (608) 328-9393

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
I20250530000554 WI Practitioner - Clinical Social Worker 8325557507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130203WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Green CurrentSince May 21, 2025 Accepting new patients
Oregon Mental Health Services,LLC Past Accepting new patients

Locations

N3152 State Road 81
Monroe, WI 53566
Phone (608) 328-9352

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": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1154871291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3152 STATE ROAD 81",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668821",
            "telephone_number": "608-328-9393",
            "fax_number": "608-328-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3152 STATE ROAD 81",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668821",
            "telephone_number": "608-328-9393",
            "fax_number": "608-324-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNER",
        "first_name": "KENDRA",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "130203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

Verify at the official NPI Registry.