Kimberly Buchanan Krupicka, LCSW CADC III

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4228 Issued in WI

Practice address

310 West Main Street
Sparta, WI 54656-2142

Phone

(608) 269-4132

Fax

(608) 269-1017

NPI assigned

May 31, 2006

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1245287457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050002",
            "telephone_number": "608-785-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WEST MAIN STREET",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562142",
            "telephone_number": "608-269-4132",
            "fax_number": "608-269-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN KRUPICKA",
        "first_name": "KIMBERLY",
        "credential": "LCSW CADC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "2241",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "4228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Bradfish, RN
• Bailey Ellen Brown, PTA
• Jeffrey P Brown, RPH
• Thomas J. Brown, D.M.D.
• Ashlee R Brozak, PT
• Diana Claire Burkee
• Loni Burton
• Amanda J Byom, ED. D., MS, LPC, SAC
• Karen M Carney, PT
• Zachary Ho Wan Chan, RPH

• Clinical Social Worker in Sparta, WI
• Providers in Sparta, 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 Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.