Individual provider Active NPI

Kelly Raufman

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1891478475
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132442-121 Issued in WI
Practice address
2909 Landmark PL Ste 210
Madison, WI 53713-4200
Phone
(855) 458-4966
Fax
(608) 841-1200
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 132442-121 WI Primary

Addresses

Primary practice location

2909 Landmark PL Ste 210
Madison, WI 53713-4200

Mailing address

2909 Landmark PL Ste 210
Madison, WI 53713-4200
Phone (855) 458-4966

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
132442-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthyminds, LLC Clinical CurrentSince Aug 13, 2023 Accepting new patients

Locations

2909 Landmark Pl
Ste 210
Madison, WI 53713
Phone (608) 295-1498

Organizations & group practices 1

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1891478475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 LANDMARK PL STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134200",
            "telephone_number": "855-458-4966",
            "fax_number": "608-841-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 LANDMARK PL STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134200",
            "telephone_number": "855-458-4966",
            "fax_number": "608-841-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUFMAN",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "132442-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.