Kelsey M Brady, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Prairie Du Sac, WI

NPI 1902390768 · NPPES record last updated Apr 19, 2023

Key facts

NPI
1902390768
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone
(608) 643-7587
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathway to Wellness Community Clinic SC (4 clinicians)

Practice addresses (Care Compare)

560 4TH St
Prairie Du Sac, WI 53578-1136
Phone (608) 643-3663

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180906001936 WI Practitioner - Clinical Social Worker 2365792611 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
The Redi Clinic of Wauwatosa, SC Current
since Aug 9, 2018
Accepting new patients
Pathway to Wellness Community Clinic SC Clinical Current
since Aug 9, 2018
Accepting new patients

Locations

560 4th St
Prairie du Sac, WI 53578
Phone (608) 643-3663

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

260 26TH St
Prairie Du Sac, WI 53578-2203

Mailing address

560 4TH St
Prairie Du Sac, WI 53578-1136
Phone (608) 643-3663

Other names

  • Mrs. Kelsey Greenwood Former name

Other providers in Prairie Du Sac, WI

All providers in Prairie Du Sac, WI · Clinical Social Worker in Wisconsin

Sources for this page

Verify at the official NPI Registry.