Individual provider Active NPI

Catherine Dupar Skelly, LCSW

  • Clinical Social Worker
  • Brookfield, WI
National Provider Identifier
1912326190
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9367 Issued in CT
Practice address
18000 W Sarah LN Ste 210
Brookfield, WI 53045-5840
Phone
(203) 475-6616
NPI assigned
Apr 15, 2014
Last updated
Jul 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 9367 CT Primary

Addresses

Primary practice location

18000 W Sarah LN Ste 210
Brookfield, WI 53045-5840

Mailing address

9081 N King Rd
Bayside, WI 53217-1848
Phone (203) 895-8447

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
I20190131001484 WI Practitioner - Clinical Social Worker 9335438340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9367CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Munawar LLC CurrentSince Sep 26, 2024 Accepting new patients

Locations

18000 W Sarah Ln
Ste 210
Brookfield, WI 53045
Phone (262) 267-8752

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1912326190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9081 N KING RD",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171848",
            "telephone_number": "203-895-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 W SARAH LN STE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455840",
            "telephone_number": "203-475-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPAR SKELLY",
        "first_name": "CATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.