Kathleen Childs

Individual provider Active NPI Clinical Social Worker · Monona, WI

NPI 1992518955 · NPPES record last updated Feb 28, 2025

Key facts

NPI
1992518955
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
2000 Engel St
Monona, WI 53713-4822
Phone
(618) 318-1064
NPI assigned
Jan 31, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

2000 Engel St
Monona, WI 53713-4822

Mailing address

1722 Boyd Ave
Madison, WI 53704-3402
Phone (618) 318-1064

Other providers in Monona, WI

All providers in Monona, WI · Clinical Social Worker in Wisconsin

Sources for this page

Verify at the official NPI Registry.