Active NPI
Kathryn L Weeks, LCSW
- Clinical Social Worker
- Kenosha, WI
National Provider Identifier
1447293097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 536-123
- Practice address
- 4103 60TH St
Kenosha, WI 53144-2509 - Phone
- (262) 652-3000
- NPI assigned
- Jun 13, 2006
- 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 | 536-123 | WI | Primary |
Addresses
Primary practice location
4103 60TH St
Kenosha, WI 53144-2509
Mailing address
15908 N Gorham LN
Wadsworth, IL 60083-9414
Phone (847) 395-6988
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030452095018 | Other | WI | BCBS-BILLING PROVIDER |
| 42233900 | Medicaid | WI | |
| 7069698 | Other | WV | AETNA PROVIDER NUMBER |
| 40968900 | Medicaid | WI |
Other names 1
- Ms. Kathryn L Kofoed-Ackerman-Hubbard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 536-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Resource Counseling | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Kenosha, WI
- NPI 1699904276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447293097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15908 N GORHAM LN",
"city": "WADSWORTH",
"state": "IL",
"postal_code": "600839414",
"telephone_number": "847-395-6988",
"fax_number": "847-395-6989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 60TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531442509",
"telephone_number": "262-652-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEKS",
"first_name": "KATHRYN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "536-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-BILLING PROVIDER",
"identifier": "030452095018",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42233900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7069698",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40968900",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "KOFOED-ACKERMAN-HUBBARD",
"middle_name": "L",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.