Individual provider Active NPI

Ariel Namowicz Kloss, LCSW

  • Clinical Social Worker
  • Elm Grove, WI
National Provider Identifier
1164068565
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9672123 Issued in WI
Practice address
15285 Watertown Plank Rd Ste 102
Elm Grove, WI 53122-2339
Phone
(414) 552-8242
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 9672123 WI Primary

Addresses

Primary practice location

15285 Watertown Plank Rd Ste 102
Elm Grove, WI 53122-2339

Mailing address

15285 Watertown Plank Rd Ste 102
Elm Grove, WI 53122-2339
Phone (414) 552-8242

Other identifiers 2

IdentifierTypeStateIssuer
9672-123OtherWISTATE LICENSE
100095301MedicaidWI

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
I20221112000106 WI Practitioner - Clinical Social Worker 2264816016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9672123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whitestar Wellness SC Social Worker CurrentSince Jun 23, 2022 Accepting new patients

Locations

15285 Watertown Plank Rd
Ste 102
Elm Grove, WI 53122
Phone (414) 395-0206

Organizations & group practices 1

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1164068565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15285 WATERTOWN PLANK RD STE 102",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222339",
            "telephone_number": "414-552-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15285 WATERTOWN PLANK RD STE 102",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222339",
            "telephone_number": "414-552-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSS",
        "first_name": "ARIEL",
        "middle_name": "NAMOWICZ",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9672123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "9672-123",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095301",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

Verify at the official NPI Registry.