Active NPI
Kathleen J Bahler, MSSW ACSW LSW
- Clinical Social Worker
- Green Bay, WI
National Provider Identifier
1467599431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 992123
- Practice address
- 603 Beaupre St
Green Bay, WI 54301-2412 - Phone
- (920) 435-1188
- Fax
- (920) 435-0276
- NPI assigned
- Jan 31, 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 | 992123 | WI | Primary |
Addresses
Primary practice location
603 Beaupre St
Green Bay, WI 54301-2412
Mailing address
603 South Jefferson Street
Green Bay, WI 54301-2412
Phone (920) 435-1188
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 |
|---|---|---|---|
| 992 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 992123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1467599431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 SOUTH JEFFERSON STREET",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012412",
"telephone_number": "920-435-1188",
"fax_number": "920-432-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 BEAUPRE ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012412",
"telephone_number": "920-435-1188",
"fax_number": "920-435-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHLER",
"first_name": "KATHLEEN",
"middle_name": "J",
"credential": "MSSW ACSW LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "992123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.