KIMBERLY BRANDHAGEN APSW, SAC-IT
NPI 1265092167
Social Worker in Elm Grove, WI

Q: What is Kimberly Brandhagen's NPI number?

The NPI number for Kimberly Brandhagen is 1265092167. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Q: What is Kimberly Brandhagen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Kimberly Brandhagen enrolled in Medicare?

No. Kimberly Brandhagen has opted out of Medicare through September 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since June 13, 2019Opted out of Medicare · through Sep 10, 2026

12970 W BLUEMOUND RD STE 200, ELM GROVE, WI 53122(262) 780-1020 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2021, Jun 13, 2019 (2 updates tracked since 2019).

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About Kimberly Brandhagen Apsw, Sac-it NPPES

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

KIMBERLY BRANDHAGEN APSW, SAC-IT (NPI 1265092167) is an individual social worker in Elm Grove, Wisconsin, licensed in Wisconsin (131282-121) and active in the NPI registry since June 2019. She has opted out of Medicare through September 10, 2026.

NPPES Registry Identity

NPI1265092167

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKIMBERLY BRANDHAGENCredential: APSW, SAC-IT

Location Address12970 W BLUEMOUND RD STE 200Elm Grove, WI 53122-2607

Mailing Address12970 W Bluemound Rd Ste 200Elm Grove, WI 53122-2607 · (262) 780-1020

Phone(262) 780-1020

Sole ProprietorNo

Enumeration DateJune 13, 2019

Last NPPES UpdateApril 27, 20212 updates tracked since enumeration

NPPES CertifiedApril 27, 2021

✔ NPI 1265092167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WI · 131282-121

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.

12970 W BLUEMOUND RD STE 200, Elm Grove, WI 53122

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Other Identifiers 1

Medicaid1265092167WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kimberly Brandhagen Apsw, Sac-it has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 10, 2024 through September 10, 2026.

Opt-Out Effective DateSeptember 10, 2024

Opt-Out In Effect ThroughSeptember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

MRS. HEIDI LYNN CONTO LCSW

Counselor