Individual provider Active NPI

Grace Ann Christensen, LCSW, CSAC

  • Clinical Social Worker
  • Appleton, WI
National Provider Identifier
1396453122
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12978123 Issued in WI
Practice address
1137 W Brewster St
Appleton, WI 54914-2733
Phone
(920) 744-3345
NPI assigned
Nov 10, 2022
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17307132 WI
Clinical Social Worker 1041C0700X 12978123 WI Primary

Addresses

Primary practice location

1137 W Brewster St
Appleton, WI 54914-2733

Mailing address

1137 W Brewster St
Appleton, WI 54914-2733
Phone (920) 744-3345

Other names 1

  • Grace Fey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19648-130WIMDAddiction (Substance Use Disorder) Counselor
134877-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Wellness MH, LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

5643 W Waterford Ln
Grand Chute, WI 54913
Phone (920) 404-2100

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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1396453122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 W BREWSTER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549142733",
            "telephone_number": "920-744-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 W BREWSTER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549142733",
            "telephone_number": "920-744-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17307132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12978123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "FEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.