Active NPI
Katherine E Van Groll, LCSW
- Social Worker
- Appleton, WI
National Provider Identifier
1225529837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8924-123
- Practice address
- 444 N Westhill Blvd
Appleton, WI 54914-5715 - Phone
- (920) 750-7000
- Fax
- (920) 364-2451
- NPI assigned
- May 21, 2018
- Last updated
- May 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8924-123 | WI | Primary |
Addresses
Primary practice location
444 N Westhill Blvd
Appleton, WI 54914-5715
Mailing address
444 N Westhill Blvd
Appleton, WI 54914-5715
Phone (920) 750-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8924-123 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1225529837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 N WESTHILL BLVD",
"city": "APPLETON",
"state": "WI",
"postal_code": "549145715",
"telephone_number": "920-750-7000",
"fax_number": "920-364-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 N WESTHILL BLVD",
"city": "APPLETON",
"state": "WI",
"postal_code": "549145715",
"telephone_number": "920-750-7000",
"fax_number": "920-364-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN GROLL",
"first_name": "KATHERINE",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "8924-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
- Maggie J Van Abel, DNP, FNP-BC
- Michael John Van Abel, DO
- Kirsten Joy Hendrickson Van Asten, M.S.
- Robyn Van Bogart, LCSW
- Alexis Van Eperen, MA, NBCC, LPC, ICS
- Rachel L Van Grunsven, R.D.
- Alesha Lyndsy Van Handel, APNP
- Jessica Amber Van Handel, OTR
- Kayla Van Handel, LAT, CSCS
- Amber Michele Van Hiel, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.