Active NPI
Jane E Kemnitzer, LCSW
- Clinical Social Worker
- Ridgeway, WI
National Provider Identifier
1841228491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2599-123
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 396623475003 | Other | WI | BLUE CROSS/BLUE SHIELD |
| 40953500 | Medicaid | WI | |
| 40953500 | Other | WI | HIRSP |
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, 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Paths Mental Health LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Blanchardville, WI
- NPI 1750051868
-
dba SW WI Regional Elem Therapeutic Classroom
- Mental Illness Community Based Residential Treatment Facility
- Platteville, WI
- NPI 1104207497
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.