Individual provider Active NPI

Kathleen Klingbeil

  • Clinical Social Worker
  • Merrill, WI
National Provider Identifier
1710023262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
619-123 Issued in WI
Practice address
607 N Sales St
Merrill, WI 54452-1624
Phone
(715) 536-9482
NPI assigned
Jan 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 619-123 WI Primary

Addresses

Primary practice location

607 N Sales St
Merrill, WI 54452-1624

Mailing address

1100 Lake View Dr
Wausau, WI 54403-6785
Phone (715) 848-4600

Other identifiers 1

IdentifierTypeStateIssuer
39609100MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
619-123WIMDClinical Social Worker
619WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Past Accepting new patients
Human Services Board Serving North Central Health Care Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Past Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Past Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility Past Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Health Care Facility Past Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility Past Accepting new patients

Organizations & group practices 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710023262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAKE VIEW DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036785",
            "telephone_number": "715-848-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N SALES ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544521624",
            "telephone_number": "715-536-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGBEIL",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "619-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39609100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrill, WI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.