DONNA JEAN KETTNER (NPI# 1619158151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619158151 |
| Entity Type | Individual |
| Full Name | DONNA JEAN KETTNER |
| Credential | LCSW |
| Practice Address |
1111 W Wisconsin St Sparta WI 54656-2233 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6082691588 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2647 | WI | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 409 County Road R, Black River Falls, WI 546155129 | 7152849477 | 7152845547 |
| Street Address |
1111 W WISCONSIN ST |
| City | SPARTA |
| State | WI |
| Zip Code | 54656-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104114 | Jon M Williamson | Optometrist | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2005-06-15 |
| 1972001881 | Carmen Alyssa Adams | Physician Assistant | 1111 W Wisconsin St, Sparta, WI 54656 | 2018-01-25 |
| 1912439639 | Christopher J Tookey | Family Medicine | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2017-03-31 |
| 1962943084 | Ashley Stalter | Counselor | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2017-03-09 |
| 1659823839 | Taneshia Michelle Wilson | Counselor | 1111 W Wisconsin St, Sparta, WI 54656 | 2016-11-03 |
| 1326395195 | Krysta Ann Bever | Physical Therapist | 1111 W Wisconsin St, Sparta, WI 54656 | 2012-08-10 |
| 1912228859 | Candace M Hundt | Physical Therapist | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2010-06-15 |
| 1235171836 | Gundersen Clinic, Ltd. | Clinic/Center | 1111 W Wisconsin St, Sparta, WI 54656 | 2006-06-11 |
| 1578518346 | Gundersen Clinic, Ltd. | Clinic/Center | 1111 W Wisconsin St, Sparta, WI 54656 | 2006-05-23 |
| 1831157114 | Kelly Janell Fehrenbacher | Internal Medicine | 1111 W Wisconsin St, Sparta, WI 54656-2233 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929279 | Jennifer Johnson | Physical Therapy Assistant | 14345 County Hwy B, Sparta, WI 54656 | 2016-09-01 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1801223003 | Emily M Nolte | Counselor | 112 S Court St. Room 3000, Sparta, WI 54656 | 2013-10-02 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1689847329 | Donald N. La Force | Hearing Instrument Specialist | 117 West Oak St, Sparta, WI 54656 | 2008-04-02 |
| 1164400503 | Alice M Bachop | Nurse Practitioner | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 1578540894 | Marc D Tumerman | Family Medicine | 310 West Main St, Sparta, WI 54656 | 2005-12-28 |
| 1003398488 | Ariel Dawn Ferdock | Pharmacist | 310 W Main St, Sparta, WI 54656 | 2018-09-03 |
| Find all providers in zip 54656 | ||||
| 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 |
|---|---|---|---|---|
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1750997144 | Kellie Elizabeth Hackett | Social Worker | 43 Main St Ste 101, Sparta, NJ 07871-1972 | 2020-09-21 |
| 1164035143 | Jalyn Elizabeth Stuart | Social Worker | 515 Martindale St, Sparta, MI 49345-1466 | 2020-08-28 |
| 1962966002 | Kimberly Loepp | Social Worker | Daymark Alleghany County, 1650 Nc Highway 18 S, Sparta, NC 28675 | 2019-01-23 |
| 1639646888 | Melisa Ann Varcardiponi | Social Worker | 17 Woodport Rd Ste 2c, Sparta, NJ 07871-2415 | 2018-10-25 |
| 1699283812 | Lesley Blair Icenhour | Social Worker | 1650 Nc Highway 18 S, Sparta, NC 28675-8478 | 2018-01-22 |
| 1619408689 | Taryn Blaustein | Social Worker | 46 Main St Ste 110, Sparta, NJ 07871-1910 | 2017-03-22 |
| 1750732350 | Tri-county Behavioral Care, LLC | Social Worker | 172 Woodport Rd, Suite D, Sparta, NJ 07871-2611 | 2016-06-24 |
| 1477954626 | Andrea J Tramper | Social Worker | 2111 12 Mile Rd, Sparta, MI 49345-9754 | 2014-09-08 |
| 1952701559 | Debra Jane Willison | Social Worker | 161 Ida Red Ave, Sparta, MI 49345-1715 | 2014-09-02 |
| Find all providers in SPARTA | ||||
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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.