Individual provider Active NPI

Christopher Kuhn, LCSW

  • Clinical Social Worker
  • Shawano, WI
National Provider Identifier
1326582305
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8941-123 Issued in WI
Practice address
1401 E Elizabeth St
Shawano, WI 54166-3121
Phone
(715) 853-7688
NPI assigned
Dec 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17824-130 WI
Clinical Social Worker 1041C0700X 130440-121 WI
Clinical Social Worker 1041C0700X 8941-123 WI Primary

Addresses

Primary practice location

1401 E Elizabeth St
Shawano, WI 54166-3121

Mailing address

185 River Pine Dr
Shawano, WI 54166-5342
Phone (715) 499-0204

Other practice location 1

185 River Pine Dr
Shawano, WI 54166-5342
Phone (715) 853-7688

Other identifiers 1

IdentifierTypeStateIssuer
100066174MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180710002475 WI Practitioner - Clinical Social Worker 0749536464 Practice locations: Shawano, WI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 E Elizabeth St
Shawano, WI 54166-3121
Phone (715) 853-7688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17824-130WIMDAddiction (Substance Use Disorder) Counselor
130440-121WIMDClinical Social Worker
8941-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Verkuilen Family Chiropractic, LLC CurrentSince Jun 26, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopherkuhn@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1326582305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 RIVER PINE DR",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541665342",
            "telephone_number": "715-499-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E ELIZABETH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663121",
            "telephone_number": "715-853-7688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 River Pine Dr",
            "address_purpose": "LOCATION",
            "city": "Shawano",
            "state": "WI",
            "postal_code": "541665342",
            "country_code": "US",
            "telephone_number": "715-853-7688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUHN",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-12",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17824-130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "130440-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8941-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100066174",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawano, WI

Sources for this page

Verify at the official NPI Registry.