Kathryn Jean Refsell, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

234123 Issued in WI

Practice address

10125 W North Ave
Allied Mental Health Rehab Clinics
Wauwatora, WI 53226

Phone

(414) 258-7475

NPI assigned

Jul 4, 2006

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

Other identifiers 1

Other names 1

• Miss Kathryn Jean Fritz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allied Mental Health Rehabilitation Clinics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menomonee Falls, WI
  • NPI 1821248048
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912937756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N84W19587 MENOMONEE AVE",
            "address_2": "ALLIED MENTAL HEALTH REHAB CLINICS",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530511826",
            "telephone_number": "262-255-4178",
            "fax_number": "262-255-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 W NORTH AVE",
            "address_2": "ALLIED MENTAL HEALTH REHAB CLINICS",
            "city": "WAUWATORA",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-258-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFSELL",
        "first_name": "KATHRYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "234123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39618900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "FRITZ",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.