Individual provider Active NPI

Kaylee J Nedegaard

  • Clinical Social Worker
  • La Crosse, WI
National Provider Identifier
1760101968
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132765 Issued in WI
Practice address
300 4TH St N
La Crosse, WI 54601-3228
Phone
(608) 784-4357
Fax
(608) 785-6122
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 132765 WI Primary
Mental Health Counselor 101YM0800X 132765 WI

Addresses

Primary practice location

300 4TH St N
La Crosse, WI 54601-3228

Mailing address

300 4TH St N
La Crosse, WI 54601-3228
Phone (608) 784-4357

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
I20250303002481 WI Practitioner - Mental Health Counselor 0648791947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132765WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of la Crosse CurrentSince Jan 8, 2025 Accepting new patients
County of la Crosse CurrentSince Jan 8, 2025 Accepting new patients

Locations

300 4th St N
La Crosse, WI 54601
Phone (608) 784-4357

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1760101968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 4TH ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013228",
            "telephone_number": "608-784-4357",
            "fax_number": "608-785-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 4TH ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013228",
            "telephone_number": "608-784-4357",
            "fax_number": "608-785-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDEGAARD",
        "first_name": "KAYLEE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "132765",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "132765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.