Individual provider Active NPI

Kimberly Jo Fritz, LCSW

  • Clinical Social Worker
  • Rhinelander, WI
National Provider Identifier
1770265282
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11688-123 Issued in WI
Practice address
705 E Timber Dr
Rhinelander, WI 54501-2859
Phone
(715) 369-2215
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X WI
Clinical Social Worker 1041C0700X 11688-123 WI Primary

Addresses

Primary practice location

705 E Timber Dr
Rhinelander, WI 54501-2859

Mailing address

705 E Timber Dr
Rhinelander, WI 54501-2859
Phone (715) 369-2215

Other identifiers 2

IdentifierTypeStateIssuer
100268845MedicaidWI
251S00000XOtherWICRISIS INTERVENTION TAXONOMY

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
I20250520003904 WI Practitioner - Clinical Social Worker 2769900968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11688-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida County CurrentSince Apr 9, 2025 Accepting new patients

Locations

705 E Timber Dr
Rhinelander, WI 54501
Phone (715) 362-7463

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1770265282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012859",
            "telephone_number": "715-369-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012859",
            "telephone_number": "715-369-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11688-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100268845",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRISIS INTERVENTION TAXONOMY",
            "identifier": "251S00000X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.