Debra J Kultgen, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7106-123 Issued in WI

Practice address

634 W Historic Mitchell St
Milwaukee, WI 53204-3512

Phone

(414) 383-4486

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Alarus Healthcare LLCGroup PAC ID 8022231026, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alarus Healthcare, LLC

  • Multi-Specialty Clinic/Center
  • Grafton, WI
  • NPI 1457788242
  Medicare reassignment Care Compare group NPD
• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700

  WI

  Medicare reassignment NPD
• Alarus Home Health LLC

  • In Home Supportive Care Agency
  • Grafton, WI
  • NPI 1164834974
  NPD (past)
• Bell Therapy

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1447395652
  NPD (past)
• Bell Therapy Inc CSP South

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1073719548
  NPD (past)
• Wisconsin Community Mental Health Counseling Centers, Inc

  • Mental Health Counselor
  • Mequon, WI
  • NPI 1558440552
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811051279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N143W6269 PIONEER RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122722",
            "telephone_number": "414-383-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 W HISTORIC MITCHELL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043512",
            "telephone_number": "414-383-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULTGEN",
        "first_name": "DEBRA",
        "middle_name": "J",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7106-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40929700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominika Kulka, PHARMD
• Naveen M Kulkarni, MBBS
• Sanika Kulkarni
• Iftikhar J Kullo, M.D.
• Laura Jane Kult, PT
• Amy C. Kulwicki
• Arun Kumar, MD
• Aseem Kumar, M.D.
• Devesh Kumar
• Lingam V Kumar, MD

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• 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.
• 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.

Verify at the official NPI Registry.