Active NPI
Kelsey Maureen O'Brien, APSW
- Clinical Social Worker
- Sussex, WI
National Provider Identifier
1689333288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- N64W24050 Main St
Suite 207
Sussex, WI 53089 - Phone
- (262) 501-6533
- NPI assigned
- Dec 10, 2021
- Last updated
- May 16, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | WI | Primary |
Addresses
Primary practice location
N64W24050 Main St
Suite 207
Sussex, WI 53089
Mailing address
N64W24050 Main St
Suite 207
Sussex, WI 53089
Phone (262) 501-6533
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Lila | Clinical | Current | Accepting new patients |
Locations
N64W24050 Main St
Ste 207
Sussex, WI 53089
Phone (262) 501-6533
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": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1689333288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N64W24050 MAIN ST",
"address_2": "SUITE 207",
"city": "SUSSEX",
"state": "WI",
"postal_code": "53089",
"telephone_number": "262-501-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N64W24050 MAIN ST",
"address_2": "SUITE 207",
"city": "SUSSEX",
"state": "WI",
"postal_code": "53089",
"telephone_number": "262-501-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "KELSEY",
"middle_name": "MAUREEN",
"credential": "APSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2024-05-16",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sussex, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.