Individual provider Active NPI

McKala Kay McWilliams-Nehring, MSW

  • Social Worker
  • Hudson, WI
National Provider Identifier
1467724450
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
127727-121 Issued in WI
Practice address
2501 Hanley Rd
Suite #202
Hudson, WI 54016-8705
Phone
(715) 381-1980
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 127727-121 WI Primary
Social Worker 104100000X 4455 ND

Addresses

Primary practice location

2501 Hanley Rd
Suite #202
Hudson, WI 54016-8705

Mailing address

2172 46TH Ave
Elk Mound, WI 54739-4209
Phone (218) 330-3366

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
I20130501000563 WI Practitioner - Clinical Social Worker 6901043389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Counseling LLCGroup PAC ID 3678711900, 43 clinicians

Practice addresses (Care Compare)

2115 E Clairemont Ave
Suite 2
Eau Claire, WI 54701-4761
Phone (763) 210-9966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4455NDMDSocial Worker
127727-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Counseling LLC CurrentSince Oct 1, 2016 Accepting new patients
Refresh Midwest Operations, SC Past Accepting new patients
Allied Mental Health Specialty Group SC PastSince Aug 1, 2005 Accepting new patients

Locations

12918 63rd Ave N
Maple Grove, MN 55369
Phone (952) 999-1959

7201 Forestview Ln N
Lowr
Maple Grove, MN 55369

2115 E Clairemont Ave
Ste 2
Eau Claire, WI 54701
Phone (507) 993-0437

3610 Oakwood Mall Dr
Ste 203
Eau Claire, WI 54701

901 4th St
Hudson, WI 54016
Phone (651) 492-8498

Organizations & group practices 3

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1467724450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 46TH AVE",
            "city": "ELK MOUND",
            "state": "WI",
            "postal_code": "547394209",
            "telephone_number": "218-330-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HANLEY RD",
            "address_2": "SUITE #202",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168705",
            "telephone_number": "715-381-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS-NEHRING",
        "first_name": "MCKALA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "127727-121",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.