Individual provider Active NPI

Megan E Dittrich, LCSW

  • Clinical Social Worker
  • Grafton, WI
National Provider Identifier
1700696465
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12765-123 Issued in WI
Practice address
1245 Cheyenne Ave
Grafton, WI 53024-9323
Phone
(203) 331-2297
NPI assigned
Jan 13, 2025
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12765-123 WI Primary

Addresses

Primary practice location

1245 Cheyenne Ave
Grafton, WI 53024-9323

Mailing address

176 W Tripoli Ave
Milwaukee, WI 53207-3847
Phone (203) 331-2297

Other names 1

  • Megan E Dauenhauer Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250211003091 WI Practitioner - Clinical Social Worker 5698205227 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12765-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Counseling and Family Services of Wisconsin Inc CurrentSince Jan 1, 2025 Accepting new patients
Behavioral Health Clinic, LLC Clinical CurrentSince Jan 23, 2026 Accepting new patients

Locations

1245 Cheyenne Ave
Ste 200
Grafton, WI 53024
Phone (262) 233-1818

324 S Andrews St
Shawano, WI 54166
Phone (715) 524-4840

2417 Post Rd
Stevens Point, WI 54481
Phone (715) 544-6144

630 S 36th Ave
Wausau, WI 54401
Phone (414) 301-1060

3800 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 536-8333

Organizations & group practices 3

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1700696465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 W TRIPOLI AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532073847",
            "telephone_number": "203-331-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CHEYENNE AVE",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249323",
            "telephone_number": "203-331-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTRICH",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12765-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DAUENHAUER",
            "middle_name": "E",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grafton, WI

Sources for this page

Verify at the official NPI Registry.