Kandace J Elmergreen, MS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2442-123 Issued in WI

Practice address

114 Grand Ave
Wausau, WI 54403-6214

Phone

(715) 845-7175

Fax

(715) 845-7142

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Elmergreen Associates, LLCGroup PAC ID 1355880329, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Elmergreen Associates,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
  • NPI 1922173418
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497874291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GRAND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036214",
            "telephone_number": "715-845-7175",
            "fax_number": "715-845-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GRAND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036214",
            "telephone_number": "715-845-7175",
            "fax_number": "715-845-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMERGREEN",
        "first_name": "KANDACE",
        "middle_name": "J",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2442-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43561100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsi Rae Ellenbecker
• Lori Ann Ellerman, CST
• Nancy D Ellis, MS, LPC, SAC
• Elmergreen Associates,LLC
• Dennis R Elmergreen, MA, LPC
• Natasha Jane Elmergreen, LPC-IT
• Allyson R. Ende, PSY.D.
• Connie Endvick, DNP
• Richard S Engelmeier, MD
• ENT & Allergy Associates, S.C.

• Clinical Social Worker in Wausau, WI
• Providers in Wausau, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.