KATHLEEN GAIL MCCARTHY LCSW CADC
NPI 1346334034
Social Worker - Clinical in Sheboygan, WI
About Kathleen Gail Mccarthy Lcsw Cadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN GAIL MCCARTHY LCSW CADC (NPI 1346334034) is an individual clinical provider in Sheboygan, Wisconsin, licensed in Wisconsin (3630-123) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Gail Mccarthy Lcsw Cadc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Mccarthy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Sheboygan Falls, WI 53085
- Reassigned Medicare billing, Wisconsin enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
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 Mccarthy's NPI number?
The NPI number for Kathleen Mccarthy is 1346334034. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Kathleen Mccarthy located?
Kathleen Mccarthy practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.
What is Kathleen Mccarthy's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kathleen Mccarthy enrolled in Medicare?
Yes. Kathleen Mccarthy 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.
Which organizations bill Medicare for Kathleen Mccarthy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Mccarthy reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Sheboygan, WI) and Production Farm, Inc. (Sheboygan Falls, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Mccarthy accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners and 3 other insurers list Kathleen Mccarthy 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 Mccarthy was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Kathleen Gail Mccarthy, LCSW CADC · NPI 1346334034
Clinical provider in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1346334034 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 3630-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081-3129
- **Phone:** (920) 457-4461 · **Fax:** (920) 459-1483
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI); Production Farm, Inc. (NPI 1508552696, Sheboygan Falls, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** November 3, 2025
- **Other identifiers:** Medicaid 39292400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1346334034) · Data from the CMS NPPES public registry.