MRS. KATHLEEN FENNO MCNULTY (NPI# 1023027414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023027414 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN FENNO MCNULTY |
| Credential | L.C.S.W. |
| Practice Address |
1220 Mound Ave Suite 301 Racine WI 53404-3350 |
| Practice Telephone | 2626333591 |
| Practice Fax Number | 2626332619 |
| Mailing Telephone | 2626333591 |
| Mailing Fax Number | 2626332619 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7210-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40984300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851522809 | Kathleen Mcnulty | Occupational Therapist | 9704candacecourt, Glenallen, UT 23060 | 2009-08-06 |
| 1770619066 | Kathleen Mcnulty | Psychologist | 20 West Ridgewood Avenue, Suites 5 & 6, Ridgewood, NJ 07450-3705 | 2007-02-23 |
| 1922317346 | Kathleen Mcnulty | Occupational Therapist | 2904 Seminary Dr, Greensburg, PA 15601-3786 | 2010-10-04 |
| 1740400928 | Kathleen Marie Mcnulty | Social Worker | 4848 Battery Lane, Suite 202, Bethesda, MD 20814 | 2007-04-27 |
| 1124187596 | Kathleen S Mcnulty | Social Worker | 125 E Lake St, Suite 206, Bloomingdale, IL 60108 | 2006-12-08 |
| 1518977537 | Kathleen A Mcnulty | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2006-08-09 |
| Street Address |
1220 MOUND AVE SUITE 301 |
| City | RACINE |
| State | WI |
| Zip Code | 53404-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679752018 | 21st Century Preparatory School | Local Education Agency (LEA) | 1220 Mound Ave, Racine, WI 53404-3350 | 2007-11-02 |
| 1619167939 | Carl Tyrone Koeling | Counselor | 1220 Mound Ave, Ste 301, Racine, WI 53404-3350 | 2007-08-01 |
| 1568580207 | Personal Comfort Supplies of Wi | Durable Medical Equipment & Medical Supplies | 1220 Mound Ave, Suite 315, Racine, WI 53404-3350 | 2007-03-27 |
| 1598847030 | Valerie J Earl | Social Worker | 1220 Mound Ave, Racine, WI 53404-3350 | 2006-10-20 |
| 1689768012 | Roxanne Noelle Le Beau | Counselor | 1220 Mound Ave, Suite 301, Racine, WI 53404-3350 | 2006-10-02 |
| 1013022367 | Mary Monica Weber | Social Worker | 1220 Mound Ave, Ste 301, Racine, WI 53404-3350 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686001 | Rosamaria E Garcia | Registered Nurse | 1120 Hartman Ct, Racine, WI 53404 | 2018-10-29 |
| 1912372418 | Avada Audiology and Hearing Care | Preferred Provider Organization | 813 Fox Lane Suite B, Waterford, WI 53404 | 2015-12-09 |
| 1215095096 | Bonnie Lee Wirfs | Internal Medicine | 2000 Domanik Drive, Racine, WI 53404 | 2006-12-05 |
| 1992813893 | Craig E Fleury | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
| 1174631089 | Greg L Smart | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
| 1871953950 | Amybeth Mahoney | Counselor | 4726 N Green Bay Rd, Racine, WI 53404-1108 | 2016-03-02 |
| 1649560871 | Abby Healthcare Staffing, LLC | Home Health | 3406 Killips Ln, Racine, WI 53404-1310 | 2011-04-08 |
| 1114071917 | Ib Thostrup | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
| 1417001140 | Thostrup Chiropractic, S.c. | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
| 1578620423 | Sally Jean Brown | Chiropractor | 2609 Rapids Dr, Racine, WI 53404-1741 | 2007-01-02 |
| Find all providers in zip 53404 | ||||
| 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 |
|---|---|---|---|---|
| 1962973479 | Karen Seif | Social Worker | 1818 Wisconsin Ave, Racine, WI 53403-2771 | 2018-12-10 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1538485834 | Marianne T. Jensen | Social Worker | 2310 N Main St, Racine, WI 53402-4450 | 2010-04-12 |
| 1992916910 | Karen Carnabucci | Social Worker | 932 Lake Ave, Lake House Health & Learning Center, Racine, WI 53403-1519 | 2007-05-24 |
| 1740496868 | Linda Marie Angel | Social Worker | 420 Seventh St, Racine, WI 53403-1222 | 2007-05-15 |
| 1962525683 | Thomas Karl Galten | Social Worker | 420 7th St, Racine, WI 53403-1222 | 2007-04-09 |
| 1225191158 | Linda Susan Noer | Social Worker | 2219 Washington Ave, Racine, WI 53405-3551 | 2006-12-19 |
| 1417018664 | Angela Maria Martin | Social Worker | 6021 Durand Avenue, Suite 300, Racine, WI 53406 | 2006-12-12 |
| 1457328643 | Elizabeth Hanson Will | Social Worker | 700 Villa Street, Racine, WI 53403 | 2006-03-07 |
| 1720087364 | Lauren Murphy Payne | Social Worker | 6021 Durand Ave, Suite 300, Racine, WI 53406-5096 | 2005-07-15 |
| Find all providers in RACINE | ||||
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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.