Individual provider Active NPI

Nancy Kottke, LCSW

  • Social Worker
  • Madison, WI
National Provider Identifier
1386288124
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
435-123 Issued in WI
Practice address
6300 Enterprise LN Ste 301
Madison, WI 53719-1193
Phone
(608) 828-3636
Fax
(608) 828-3637
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 435-123 WI Primary
Mental Health Counselor 101YM0800X 435 WI

Addresses

Primary practice location

6300 Enterprise LN Ste 301
Madison, WI 53719-1193

Mailing address

6300 Enterprise LN Ste 301
Madison, WI 53719-1193
Phone (608) 828-3636

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
I20201231001084 WI Practitioner - Clinical Social Worker 1557774924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uplands Counseling Associates IncGroup PAC ID 4981635653, 11 clinicians

Practice addresses (Care Compare)

6300 Enterprise LN
Suite 301
Madison, WI 53719-1190
Phone (608) 828-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uplands Counseling Associates, Inc. CurrentSince Dec 3, 2020 Accepting new patients
Northstar Partnership Mental Health CurrentSince Nov 10, 2019 Accepting new patients

Locations

1118 Professional Dr
Dodgeville, WI 53533
Phone (608) 828-3636

6506 Schroeder Rd
Madison, WI 53711
Phone (608) 270-1960

6300 Enterprise Ln
Ste 301
Madison, WI 53719
Phone (608) 828-3636

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1386288124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 ENTERPRISE LN STE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191193",
            "telephone_number": "608-828-3636",
            "fax_number": "608-828-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 ENTERPRISE LN STE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191193",
            "telephone_number": "608-828-3636",
            "fax_number": "608-828-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTKE",
        "first_name": "NANCY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "435-123",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.