Chloe Anderson Kemp, LCSW
Individual provider Active NPI Clinical Social Worker · Appleton, WI
NPI 1164077103 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1164077103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9770-123 (WI)
- Practice address
- 4650 W Spencer St
Appleton, WI 54914-9106 - Phone
- (920) 903-1060
- Fax
- (920) 903-1164
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- US 2 Behavioral Health Care Inc.
Practice addresses (Care Compare)
4650 W Spencer St
Appleton, WI 54914-9106
Phone (920) 903-1060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210916002963 | WI | Practitioner - Clinical Social Worker | 6608273784 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US 2 Behavioral Health Care Inc | Current |
Accepting new patients | |
| Power for Change, LLC | Past |
Accepting new patients |
Locations
4650 W Spencer St
Appleton, WI 54914
Phone (920) 903-1060
119 N McCarthy Rd
Ste P
Appleton, WI 54913
Phone (920) 903-1060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9770-123 | WI | Yes |
Addresses
Primary practice location
4650 W Spencer St
Appleton, WI 54914-9106
Mailing address
4650 W Spencer St
Appleton, WI 54914-9106
Phone (920) 903-1060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100091832 | Medicaid | WI |
Other names
- Chloe Anderson
Other providers in Appleton, WI
- Robert William Amorde
- Anja Nicole Amundson
- Nicole Anania
- David Anderla
- Pamela J Andersen
- Ann Marie E. Anderson
- David M Anderson
- Heather Joi Anderson
- Jack Anderson
- Jennifer Ashley Anderson
All providers in Appleton, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.