Active NPI
Christine M Kelly, LCSW
- Clinical Social Worker
- Lancaster, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 877-123
- Practice address
- 200 W Alona LN
Lancaster, WI 53813-2202 - Phone
- (608) 723-6357
- Fax
- (608) 723-4417
- NPI assigned
- Nov 22, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 877-123 | WI | Primary |
Addresses
Primary practice location
200 W Alona LN
Lancaster, WI 53813-2202
Mailing address
200 W Alona LN
Lancaster, WI 53813-2202
Phone (608) 723-6357
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2717 N Grandview Blvd
Suite 102
Waukesha, WI 53188-1672
Phone (877) 906-9699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCS Care Solutions, LLC | Clinical | Current | Accepting new patients |
Locations
39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000
2717 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 513-0700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386719540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W ALONA LN",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132202",
"telephone_number": "608-723-6357",
"fax_number": "608-723-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ALONA LN",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132202",
"telephone_number": "608-723-6357",
"fax_number": "608-723-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "877-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.