Individual provider Active NPI

Kaitlin Antoinette Kroeger, MSW, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1336621978
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9346-123 Issued in WI
Practice address
9000 W Chester St Ste 100
Milwaukee, WI 53214-1372
Phone
(414) 361-3133
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9346-123 WI Primary

Addresses

Primary practice location

9000 W Chester St Ste 100
Milwaukee, WI 53214-1372

Mailing address

2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889

Other names 1

  • Kaitlin Antoinette Peterson Former name

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
I20200211000161 WI Practitioner - Clinical Social Worker 1658707682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stigmacure SCGroup PAC ID 0143672741, 6 clinicians

Practice addresses (Care Compare)

5250 S 108TH St
Hales Corners, WI 53130-1321
Phone (414) 296-1730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130196-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empyrean Ventures Inc Clinical CurrentSince Mar 1, 2026 Accepting new patients
Young Mens Christian Association CurrentSince Oct 31, 2021 Accepting new patients
Kpsychotherapy LLC Current Accepting new patients

Locations

2800 E Enterprise Ave
Ste 333
Appleton, WI 54913
Phone (630) 687-0455

5250 S 108th St
Hales Corners, WI 53130
Phone (414) 296-1730

420 7th St
Racine, WI 53403
Phone (262) 634-2391

N14W23777 Stone Ridge Dr
Ste 290
Waukesha, WI 53188
Phone (262) 716-7580

Organizations & group practices 4

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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1336621978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E ENTERPRISE AVE STE 333",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W CHESTER ST STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141372",
            "telephone_number": "414-361-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEGER",
        "first_name": "KAITLIN",
        "middle_name": "ANTOINETTE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9346-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "PETERSON",
            "middle_name": "ANTOINETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.