Individual provider Active NPI

Jane E Kemnitzer, LCSW

  • Clinical Social Worker
  • Ridgeway, WI
National Provider Identifier
1841228491
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2599-123 Issued in WI
Practice address
101 Stonier LN
Ridgeway, WI 53582-9798
Phone
(608) 341-8600
NPI assigned
Jun 30, 2006
Reactivated
Mar 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2599-123 WI Primary

Addresses

Primary practice location

101 Stonier LN
Ridgeway, WI 53582-9798

Mailing address

PO Box 7
Rewey, WI 53580-0007
Phone (608) 574-4352

Other practice location 1

415 Main St Apt A
Rewey, WI 53580-9683
Phone (608) 574-4352

Other identifiers 3

IdentifierTypeStateIssuer
396623475003OtherWIBLUE CROSS/BLUE SHIELD
40953500MedicaidWI
40953500OtherWIHIRSP

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
I20101213001099 WI Practitioner - Clinical Social Worker 8921295239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

415 Main St
Apt a
Rewey, WI 53580-9683
Phone (608) 574-4352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Paths Mental Health LLC Clinical CurrentSince Apr 28, 2025 Accepting new patients
Platteville Family Resource Center Past Accepting new patients

Organizations & group practices 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1841228491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "REWEY",
            "state": "WI",
            "postal_code": "535800007",
            "telephone_number": "608-574-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STONIER LN",
            "city": "RIDGEWAY",
            "state": "WI",
            "postal_code": "535829798",
            "telephone_number": "608-341-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Main St Apt A",
            "address_purpose": "LOCATION",
            "city": "Rewey",
            "state": "WI",
            "postal_code": "535809683",
            "country_code": "US",
            "telephone_number": "608-574-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMNITZER",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-03-13",
        "certification_date": "2025-01-23",
        "deactivation_date": "2025-02-04",
        "reactivation_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2599-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "396623475003",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40953500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "40953500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeway, WI

Sources for this page

Verify at the official NPI Registry.