Kimberly Crowell, MSW
Individual provider Active NPI Clinical Social Worker · Portage, WI
NPI 1992301683 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1992301683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9551-123 (WI)
- Practice address
- 2901 Hunters TRL
Portage, WI 53901-3403 - Phone
- (608) 742-5518
- Fax
- (608) 742-4087
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Community Service Associates, SC
Practice addresses (Care Compare)
50 Prairie Ave
Prairie Du Sac, WI 53578-1541
Phone (608) 643-3147
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201229000045 | WI | Practitioner - Clinical Social Worker | 7113330754 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Service Associates, SC | Current |
Accepting new patients |
Locations
1002 Lincoln Ave
Baraboo, WI 53913
Phone (608) 356-9055
2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9551-123 | WI | Yes |
Addresses
Primary practice location
2901 Hunters TRL
Portage, WI 53901-3403
Mailing address
PO Box 301
Portage, WI 53901-0301
Phone (608) 742-5518
Other providers in Portage, WI
- Lori A Cornell
- County of Columbia
- County of Columbia
- Natalie G Craig
- Megan C Crockett
- Lynne Beth Cummings
- Mark J Curran Sr.
- Currani Seubert Dental Office LLC
- Julie Marie Cutrell
- Kathryn E. Dalton
All providers in Portage, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.