Active NPI
Kathleen Cauley
- Clinical Social Worker
- Fort Atkinson, WI
National Provider Identifier
1275378556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125-1742
- Practice address
- N3045 County Road J
Fort Atkinson, WI 53538-9703 - Phone
- (920) 728-0520
- NPI assigned
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 125-1742 | WI | Primary |
| Professional Counselor | 101YP2500X | 125-1742 | WI |
Addresses
Primary practice location
N3045 County Road J
Fort Atkinson, WI 53538-9703
Mailing address
N3045 County Road J
Fort Atkinson, WI 53538-9703
Phone (920) 728-0520
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 |
|---|---|---|---|
| 125-1742 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1275378556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N3045 COUNTY ROAD J",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535389703",
"telephone_number": "920-728-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N3045 COUNTY ROAD J",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535389703",
"telephone_number": "920-728-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAULEY",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "125-1742",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "125-1742",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.