Active NPI
Patricia Glatzel Clough, MS, ATR, LPC
- Social Worker
- Oconomowoc, WI
National Provider Identifier
1477543981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3398-125
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40961900 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3398-125 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Healing Arts & Counseling LLC | Professional | Current | 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.