ELIZABETH MUNDY-HEMMERICH MSW, LCSW, QMHP
NPI 1386834075
Social Worker - Clinical in Kenosha, WI

Q: What is Elizabeth Mundy-hemmerich's NPI number?

The NPI number for Elizabeth Mundy-hemmerich is 1386834075. It was assigned to this individual provider in the NPPES registry on July 28, 2007. The provider is also known as Elizabeth Mundy.

Q: What is Elizabeth Mundy-hemmerich's specialty?

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

Active since July 28, 2007PECOS Enrolled

2108 63RD ST, KENOSHA, WI 53143(262) 652-2406 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Elizabeth Mundy-hemmerich Msw, Lcsw, Qmhp NPPES

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

ELIZABETH MUNDY-HEMMERICH MSW, LCSW, QMHP (NPI 1386834075) is an individual clinical provider in Kenosha, Wisconsin, licensed in Wisconsin (9207-123) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mchenry.

NPPES Registry Identity

NPI1386834075

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELIZABETH MUNDY-HEMMERICHCredential: MSW, LCSW, QMHP

Location Address2108 63RD STKenosha, WI 53143-4454

Mailing Address4100 Veterans PkwyMchenry, IL 60050-8350 · (815) 385-6400

Phone(262) 652-2406

Sole ProprietorNo

Enumeration DateJuly 28, 2007

Last NPPES UpdateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1386834075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in WI · 9207-123✔ Licensed in IL · 149.013900

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.

Also ListedCounselorTaxonomy 101Y00000X

2108 63RD ST, Kenosha, WI 53143

Open in Google Maps ↗

Other Names 1

Former Name (1)Elizabeth Mundy

Secondary Practice Location 1

Location 14100 Veterans PkwyMcHenry, IL 60050-8350 · Phone (815) 385-6400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Mundy-hemmerich Msw, Lcsw, Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Elizabeth Mundy-hemmerich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Services Group, Inc.

Same address

Mental Health (Including Community Mental Health Center)

2108 63RD ST
Kenosha, WI 53143

Reassigned Medicare billing, Wisconsin enrollment
72 clinicians in this Medicare group

NPI 1619024262 (262) 652-2406

Child & Family Therapeutic Systems S.C.

28 mi

Clinical

4811 S 76TH ST, SUITE 401
Greenfield, WI 53220

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Child & Family Therapeutic Systems Sc
3 clinicians in this Medicare group

NPI 1922176395 (414) 325-7741

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 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 20

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

JESSICA MARTZAHL LPC

Counselor (Professional)