MRS. KATHLEEN FENNO MCNULTY L.C.S.W.
NPI 1023027414
Social Worker - Clinical in Racine, WI

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
1220 MOUND AVE, SUITE 301, RACINE, WI 53404(262) 633-3591(262) 633-2619 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathleen Fenno Mcnulty L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHLEEN FENNO MCNULTY L.C.S.W. (NPI 1023027414) is an individual clinical provider in Racine, Wisconsin, licensed in Wisconsin (7210-123) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1023027414
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATHLEEN FENNO MCNULTYCredential: L.C.S.W.
Location Address1220 MOUND AVE, SUITE 301Racine, WI 53404-3350
Mailing Address1220 Mound Ave, Suite 301Racine, WI 53404-3350 · (262) 633-3591 · Fax (262) 633-2619
Fax(262) 633-2619
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1023027414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 7210-123
Definition
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.
1220 MOUND AVE, Racine, WI 53404

Other Identifiers 1

Medicaid40984300WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kathleen Fenno Mcnulty L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648305276
PECOS Enrollment IDI20100320000258
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
75 services11 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
31 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1220 MOUND AVE, STE 301
RACINE, WI 53404
Durable Medical Equipment & Medical Supplies
1220 MOUND AVE, SUITE 315
RACINE, WI 53404
Social Worker (Clinical)
1220 MOUND AVE
RACINE, WI 53404
Counselor (Professional)
1220 MOUND AVE, STE 301
RACINE, WI 53404
Local Education Agency (LEA)
1220 MOUND AVE
RACINE, WI 53404
Counselor (Addiction (Substance Use Disorder))
1220 MOUND AVE, SUITE 301
RACINE, WI 53404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Mcnulty's NPI number?

The NPI number for Kathleen Mcnulty is 1023027414. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Kathleen Mcnulty located?

Kathleen Mcnulty practices at 1220 Mound Ave Suite 301, Racine, WI 53404. The listed phone number is (262) 633-3591.

What is Kathleen Mcnulty's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathleen Mcnulty enrolled in Medicare?

Yes. Kathleen Mcnulty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathleen Mcnulty accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Kathleen Mcnulty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Mcnulty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.