Active NPI
Caroline Pamela Degroot, APSW
- Social Worker
- Mequon, WI
National Provider Identifier
1255128765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 135374-121
- Practice address
- 13111 N Port Washington Rd
Mequon, WI 53097-2416 - Phone
- (262) 243-6877
- NPI assigned
- Apr 21, 2025
- Last updated
- Apr 21, 2025
- 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 | 135374-121 | WI | Primary |
Addresses
Primary practice location
13111 N Port Washington Rd
Mequon, WI 53097-2416
Mailing address
1184 Riverbend Dr
Hartford, WI 53027-9463
Phone (262) 224-7318
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 |
|---|---|---|---|
| 135374-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1255128765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1184 RIVERBEND DR",
"city": "HARTFORD",
"state": "WI",
"postal_code": "530279463",
"telephone_number": "262-224-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13111 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530972416",
"telephone_number": "262-243-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGROOT",
"first_name": "CAROLINE",
"middle_name": "PAMELA",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "135374-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.