Kim Merle Trudell, LCSW, SAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1033 W College Ave
Appleton, WI 54914-5290

Phone

(920) 239-4400

Fax

(920) 532-1052

NPI assigned

May 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kim M Witkowski Former name

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

Specialty

Clinical Social Worker

Education

University of South Florida College of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Refuge Counseling Center LLC

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1033053160
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1174969976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 COUNTRY LN",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561000",
            "telephone_number": "608-513-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 W COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145290",
            "telephone_number": "920-239-4400",
            "fax_number": "920-532-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDELL",
        "first_name": "KIM",
        "middle_name": "MERLE",
        "credential": "LCSW, SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "WITKOWSKI",
            "middle_name": "M",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tri Corner Chiropractic LLC
• Tri-County Community Dental Clinic, Inc.
• Suzanne Gayle Triezenberg, RN
• Roberta Trucco, PROFESSIONAL COUNSEL
• Elizabeth Jean Trudell, PTA
• Sarah A Truesdale, APNP
• Vanessa Rose Trujillo-Tenbrink
• Jennifer Lee Trustem, MS/CCC-SLP
• Trustpath Transportation LLC
• Lawrence C Tse, MD

• Clinical Social Worker in Appleton, WI
• Providers in Appleton, 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 May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.