KACEY M FULLER


Address: 840 State Road 136 Ste 1, Baraboo, WI 53913-9252
Phone: 6084779858

KACEY M FULLER (NPI# 1114446390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114446390
Entity Type Individual
Full Name KACEY M FULLER
Practice Address 840 State Road 136 Ste 1
Baraboo
WI 53913-9252
Mailing Address 524 2nd St
Reedsburg
WI 53959-1614
Practice Telephone 6084779858
Practice Fax Number 8775600578
Mailing Telephone 6084152667
Enumeration Date 2017-09-19
Last Update Date 2019-06-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 131274-121 WI Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 840 STATE ROAD 136 STE 1
City BARABOO
State WI
Zip Code 53913-9252

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639402902 Innervisions Counseling & Consulting Center, S.c. Counselor 840 State Road 136 Ste 1, Baraboo, WI 53913-9252 2009-09-17
1205326147 Kate Elizabeth Darnell Counselor 840 State Road 136 Ste 1, Baraboo, WI 53913-9252 2018-05-16
1013428556 Amy J Heimann Community Health Worker 840 State Road 136 Ste 1, Baraboo, WI 53913-9252 2017-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902407786 Nordic Private Care, LLC Clinic/Center 814 Lynn Avenue, Baraboo, WI 53913 2020-11-06
1467088336 Malerie Catherine Kurt Physical Therapist 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 2020-03-23
1639718174 Gwendolynn Sue Doyle Physical Therapy Assistant 1414 Jefferson Street, Baraboo, WI 53913 2020-01-02
1922572320 Karen L Elsby Case Manager/Care Coordinator Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 2019-01-18
1952874281 Cheryl Millard Social Worker Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 2019-01-09
1427536598 Daniel Robert Tokarczyk Hearing Instrument Specialist 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 2018-08-01
1508359928 Erick Lichte Krueger Counselor 840 Us-12 #1, Baraboo, WI 53913 2018-06-11
1003351834 Jason Welch Hearing Instrument Specialist 622 State Rd 136, Baraboo, WI 53913 2017-01-03
1376947820 Affordable Medfical Transportation Services, Inc. Non-emergency Medical Transport (VAN) 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 2014-10-13
1609179134 Barbara Ostrowski Registered Nurse 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 2010-12-06
Find all providers in zip 53913

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952874281 Cheryl Millard Social Worker Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 2019-01-09
1801036009 Christine Sari Smith Social Worker 800 Potter St, #1, Baraboo, WI 53913-2621 2009-02-27
1467410001 Kristine Kaye Burnstad Social Worker 1002 Lincoln Ave, Baraboo, WI 53913-1808 2006-05-03
1669072625 Solare Elizabeth O'brien-brethorst Social Worker 505 Broadway St, Baraboo, WI 53913-2183 2020-10-29
1457985657 Heather Marie Statz Social Worker 505 Broadway, Sauk County Dept. of Human Services, Baraboo, WI 53913 2020-02-26
1528611290 Amanda C Sherry Social Worker 727 8th St, Baraboo, WI 53913-1794 2019-07-22
1477017523 Lynn Weiskopf Social Worker 727 8th St Lowr Level, Baraboo, WI 53913-1794 2019-01-23
1518421551 Kelly Ann Palmer Social Worker 727 8th St, Baraboo, WI 53913-1794 2019-01-23
1043783616 Niki Wezensky Social Worker 727 8th St, Baraboo, WI 53913-1794 2019-01-07
1861965428 Samantha Anne Richards Social Worker 727 8th St, Baraboo, WI 53913-1794 2019-01-07
Find all providers in BARABOO

Competitor

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City BARABOO
Zip Code 53913

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Dataset Information

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.

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