Active NPI
Kathleen Ann Tithof, LLMSW, CTRS, CBIS
- Clinical Social Worker
- Neenah, WI
National Provider Identifier
1780823971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7953
- Practice address
- 333 N Green Bay Rd
Neenah, WI 54956-1954 - Phone
- (920) 720-2300
- Fax
- (920) 454-7013
- NPI assigned
- Feb 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801086333 | MI | |
| Clinical Social Worker | 1041C0700X | 7953 | WI | Primary |
Addresses
Primary practice location
333 N Green Bay Rd
Neenah, WI 54956-1954
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900
Other practice location 1
2775 East Lansing Drive
East Lansing, MI 48823
Phone (517) 332-1616 ext. 207
Other practice location 2
1095 Midway Rd
Menasha, WI 54952-1115
Phone (920) 720-2300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38418 | Other | MI | CERTIFIED THERAPEUTIC RECREATION SPECIALIST |
| 6801086333 | Other | MI | BOARD OF SOCIAL WORK LIMITED LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 N Green Bay Rd
Neenah, WI 54956-1954
Phone (920) 364-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7953 | WI | MD | Nurse Practitioner |
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.
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1780823971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-830-5900",
"fax_number": "920-830-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N GREEN BAY RD",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561954",
"telephone_number": "920-720-2300",
"fax_number": "920-454-7013"
}
],
"practiceLocations": [
{
"address_1": "2775 East Lansing Drive",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "48823",
"country_code": "US",
"telephone_number": "517-332-1616 x207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1095 Midway Rd",
"address_purpose": "LOCATION",
"city": "Menasha",
"state": "WI",
"postal_code": "549521115",
"country_code": "US",
"telephone_number": "920-720-2300",
"fax_number": "920-720-3719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TITHOF",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LLMSW, CTRS, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086333",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED THERAPEUTIC RECREATION SPECIALIST",
"identifier": "38418",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF SOCIAL WORK LIMITED LICENSE",
"identifier": "6801086333",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.