Heather A Beaudoin, LCSW
Individual provider Active NPI Clinical Social Worker · Kaukauna, WI
NPI 1700414489 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1700414489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10143-123 (WI)
- Practice address
- 120 E 4TH St
Kaukauna, WI 54130-2522 - Phone
- (920) 520-2525
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10143-123 | WI | MD | Clinical Social Worker |
| 10143 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalpa Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10143-123 | WI | Yes |
Addresses
Primary practice location
120 E 4TH St
Kaukauna, WI 54130-2522
Mailing address
120 E 4TH St
Kaukauna, WI 54130-2522
Other providers in Kaukauna, WI
- Deanna Lea Baughman
- Jennifer Lea Baumgart
- Baycare Aurora Kaukauna Surgery Center LLC
- Baycare Aurora, LLC
- Baycare Clinic, LLP
- Bio-Medical Applications of Wisconsin, Inc.
- Maureen R Birk
- Bloom and Belong Consulting
- Erin J Borgardt
- Nancy Jo Bougie
All providers in Kaukauna, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.