KIM MARIE WITKOWSKI (NPI# 1174969976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174969976 |
| Entity Type | Individual |
| Full Name | KIM MARIE WITKOWSKI |
| Other Name | KIM M TRUDELL |
| Credential | LCSW, SAC-IT |
| Practice Address |
14 Tri Park Way Bldg 2 Appleton WI 54914-6445 |
| Mailing Address |
1230 County Road II Neenah WI 54956-1951 |
| Practice Telephone | 9208310070 |
| Mailing Telephone | 6085133769 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Sw Archer Rd, Gainesville, FL 326081135 | 3523761611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902187719 | Kim Witkowski | Counselor | 707 President St, Apt. 832, Baltimore, MD 21202-4474 | 2011-09-07 |
| Street Address |
14 TRI PARK WAY BLDG 2 |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-6445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417200981 | Shereen E Leroy | Social Worker | 14 Tri Park Way Bldg 2, Appleton, WI 54914-6445 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922616895 | Maria Recker | Social Worker | N319 Hillside Dr, Appleton, WI 54915-9449 | 2020-07-16 |
| 1447762547 | Jennifer L Markvart | Social Worker | 5497 W Waterford Ln Ste C, Appleton, WI 54913-8489 | 2017-10-30 |
| 1669823381 | Andrea Guenther-pal | Social Worker | 477 S Nicolet Rd Ste 1, Appleton, WI 54914-8270 | 2016-06-23 |
| 1245617679 | Michelle Lee Van Thiel I | Social Worker | N9487 County Rd N, Appleton, WI 54915-9316 | 2015-05-06 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1720428030 | Andrea F Fralin | Social Worker | 4635 W College Ave, Appleton, WI 54914-8507 | 2013-07-01 |
| 1417200981 | Shereen E Leroy | Social Worker | 14 Tri Park Way Bldg 2, Appleton, WI 54914-6445 | 2012-10-22 |
| 1619243219 | Kristy L Robb | Social Worker | 412 E Longview Dr Ste C, Appleton, WI 54911-2168 | 2012-03-28 |
| 1891077806 | Breanna L Vonck-arndt | Social Worker | 424 E Longview Dr Ste A, Appleton, WI 54911 | 2011-09-15 |
| 1275708497 | Kathryn Augusta Blanker | Social Worker | 14 Tri Park Way, Bldg 2, Appleton, WI 54914-6430 | 2008-04-29 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.