Active NPI
Ann Elizabeth Kirchner, LCSW LPC
- Clinical Social Worker
- Menasha, WI
National Provider Identifier
1811049422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2259 123
- Practice address
- 1810 Appleton Road
Menasha, WI 54952 - Phone
- (920) 739-4226
- Fax
- (920) 739-7639
- NPI assigned
- Jan 17, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1221 125 | WI | |
| Clinical Social Worker | 1041C0700X | 2259 123 | WI | Primary |
Addresses
Primary practice location
1810 Appleton Road
Menasha, WI 54952
Mailing address
1810 Appleton Road
Menasha, WI 54952
Phone (920) 739-4226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39629900 | Medicaid | WI |
Other names 1
- Ann Elizabeth Lemahieu
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1221 125 | WI | MD | Professional Counselor |
| 2259 123 | WI | MD | Clinical Social Worker |
| 2259 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1811049422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 APPLETON ROAD",
"city": "MENASHA",
"state": "WI",
"postal_code": "54952",
"telephone_number": "920-739-4226",
"fax_number": "920-739-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 APPLETON ROAD",
"city": "MENASHA",
"state": "WI",
"postal_code": "54952",
"telephone_number": "920-739-4226",
"fax_number": "920-739-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHNER",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"credential": "LCSW LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "1221 125",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "2259 123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39629900",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "LEMAHIEU",
"middle_name": "ELIZABETH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.