Kaitlyn Mellom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10170-123 Issued in WI

Practice address

8383 Greenway Blvd Ste 500
Middleton, WI 53562-3529

Phone

(608) 274-0355

NPI assigned

Jul 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• Madison Psychiatric Associates, LTD.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middleton, WI
  • NPI 1821026550
  Medicare reassignment NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1871272609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 GREENWAY BLVD STE 500",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623529",
            "telephone_number": "608-212-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 GREENWAY BLVD STE 500",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623529",
            "telephone_number": "608-274-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOM",
        "first_name": "KAITLYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "10170-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine McMahon
• McPst Management Corporation
• Medical Health Pharmacy LLC
• Ann Meinholz
• Renata Marie Meixner Okonkwo, PH.D.
• Menopause and Midlife ('Ma'Am') Clinic, SC
• Mercy Dental Group, LLC
• Hannah Meredith, MOT, OTR/L
• Kristin Laurel Metoxen, LPC
• Cristopher A Meyer, MD

• Clinical Social Worker in Middleton, WI
• Providers in Middleton, 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 Aug 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.