Individual provider Active NPI

Patricia Glatzel Clough, MS, ATR, LPC

  • Social Worker
  • Oconomowoc, WI
National Provider Identifier
1477543981
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3398-125 Issued in WI
Practice address
203 E Wisconsin Ave Ste 302
Oconomowoc, WI 53066-3141
Phone
(414) 429-6403
Fax
(262) 354-0971
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3398-125 WI Primary

Addresses

Primary practice location

203 E Wisconsin Ave Ste 302
Oconomowoc, WI 53066-3141

Mailing address

1085 Revere Dr
Oconomowoc, WI 53066-4422
Phone (414) 429-6403

Other identifiers 1

IdentifierTypeStateIssuer
40961900MedicaidWI

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3398-125WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healing Arts & Counseling LLC Professional CurrentSince Nov 30, 2025 Accepting new patients

Locations

203 E Wisconsin Ave
Ste 302
Oconomowoc, WI 53066
Phone (414) 429-6403

418 E Wisconsin Ave
Oconomowoc, WI 53066
Phone (414) 429-6403

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1477543981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 REVERE DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664422",
            "telephone_number": "414-429-6403",
            "fax_number": "262-354-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E WISCONSIN AVE STE 302",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663141",
            "telephone_number": "414-429-6403",
            "fax_number": "262-354-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "PATRICIA",
        "middle_name": "GLATZEL",
        "name_prefix": "Ms.",
        "credential": "MS, ATR, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "3398-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40961900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.