Traci Koziczkowski, MSW LCSW SAC

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

101 Division St N Unit 3
Stevens Point, WI 54481-1183

Phone

(715) 600-3568

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Compassion Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stevens Point, WI
  • NPI 1881433779
  Medicare reassignment NPD Authorized official
• The Centre for Well-Being, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
  • NPI 1144426495
  Medicare reassignment NPD

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1558033787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DIVISION ST N UNIT 3",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811183",
            "telephone_number": "715-600-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DIVISION ST N UNIT 3",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811183",
            "telephone_number": "715-600-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZICZKOWSKI",
        "first_name": "TRACI",
        "credential": "MSW LCSW SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi L Korb, APNP
• Laurie J Kostka, APNP
• Alyssa Kate Koth, M.S., CCC-SLP
• Damon J Kozicki, PT
• Hannah Koziczkowski, RN
• Daniel R Kraeger, DO
• Leigh Kraemer
• Lucas Krall, PHARM.D.
• Joanne K Krasselt, R.PH.
• Kathy A. Kraus, NP

• Social Worker in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.