KENNETH ROY SANN LCSW, CSAC, ICS
NPI 1134690993
Social Worker - Clinical in Green Bay, WI

Active since December 05, 2018PECOS EnrolledAccepts Medicare Assignment
1061 W MASON ST, GREEN BAY, WI 54303(920) 437-8256 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth Roy Sann Lcsw, Csac, Ics NPPES

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

KENNETH ROY SANN LCSW, CSAC, ICS (NPI 1134690993) is an individual clinical provider in Green Bay, Wisconsin and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1134690993
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKENNETH ROY SANNCredential: LCSW, CSAC, ICS
Location Address1061 W MASON STGreen Bay, WI 54303-1858
Mailing Address1061 W Mason StGreen Bay, WI 54303-1858 · (920) 437-8256
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 5, 2018
NPI 1134690993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.

1061 W MASON ST, Green Bay, WI 54303

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

Kenneth Roy Sann Lcsw, Csac, Ics 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 ID1254670409
PECOS Enrollment IDI20190305002526
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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.

Other Providers at the Same Location NPPES 18

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

Social Worker
1061 W MASON ST
GREEN BAY, WI 54303
Counselor (Mental Health)
1061 W MASON ST
GREEN BAY, WI 54303
Social Worker (Clinical)
1061 W MASON ST
GREEN BAY, WI 54303
Social Worker (Clinical)
1061 W MASON ST
GREEN BAY, WI 54303
Social Worker (Clinical)
1061 W MASON ST
GREEN BAY, WI 54303
Counselor (Mental Health)
1061 W MASON ST
GREEN BAY, WI 54303
Social Worker (Clinical)
1061 W MASON ST
GREEN BAY, WI 54303
Social Worker (Clinical)
1061 W MASON ST
GREEN BAY, WI 54303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134690993, enumerated as an "individual" on December 05, 2018.

The provider is located at 1061 W MASON ST GREEN BAY, WI 54303 and the phone number is (920) 437-8256.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: HealthPartners, Medica, Network Health and. Please consult your insurance carrier or call the provider to verify.