Individual provider Active NPI

Kristine L Howley, LCSW

  • Clinical Social Worker
  • Sheboygan, WI
National Provider Identifier
1396852919
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7059-123 Issued in WI
Practice address
1813 Ashland Ave
Sheboygan, WI 53081-6125
Phone
(920) 459-1494
Fax
(414) 964-4816
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1671-120 WI
Clinical Social Worker 1041C0700X 7059-123 WI Primary

Addresses

Primary practice location

1813 Ashland Ave
Sheboygan, WI 53081-6125

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

2524 E Webster Pl
Suite 203
Milwaukee, WI 53211-4256
Phone (414) 964-9200

Other practice location 2

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

Other identifiers 1

IdentifierTypeStateIssuer
40942500MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khowley86399@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20071215000058 WI Practitioner - Clinical Social Worker 8123118015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1671-120WIMDClinical Social Worker
7059-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Nov 13, 2017 Accepting new patients
Lighthouse Clinic Clinical CurrentSince Jan 1, 2011 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 13, 2017 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Health Care Central, Inc. Past Accepting new patients

Locations

2524 E Webster Pl
Ste 203
Milwaukee, WI 53211
Phone (414) 964-9200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461

1813 Ashland Ave
Sheboygan, WI 53081
Phone (920) 458-4010

Interoperability endpoints

  • Direct secure messaging: khowley86399@direct.myadvocateaurora.org

Organizations & group practices 5

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1396852919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 ASHLAND AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816125",
            "telephone_number": "920-459-1494",
            "fax_number": "414-964-4816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2524 E Webster Pl",
            "address_2": "SUITE 203",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114256",
            "country_code": "US",
            "telephone_number": "414-964-9200",
            "fax_number": "414-964-4816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2414 Kohler Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530813129",
            "country_code": "US",
            "telephone_number": "920-457-4461",
            "fax_number": "414-964-4816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWLEY",
        "first_name": "KRISTINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1671-120",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7059-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40942500",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khowley86399@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2524 E Webster Pl",
            "address_2": "SUITE 203",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532114256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2524 E Webster Pl",
            "address_2": "SUITE 203",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532114256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.