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KASSANDRA ELIZABETH WILSON
NPI 1417804584
Social Worker - Clinical in Beloit, WI

Active since March 16, 2026PECOS Enrolled
540 E GRAND AVE, BELOIT, WI 53511(608) 289-1505 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kassandra Elizabeth Wilson NPPES

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

KASSANDRA ELIZABETH WILSON (NPI 1417804584) is an individual clinical provider in Beloit, Wisconsin, licensed in Wisconsin (135140-121) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417804584
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKASSANDRA ELIZABETH WILSON
Location Address540 E GRAND AVEBeloit, WI 53511-6314
Mailing Address540 E Grand AveBeloit, WI 53511-6314
Phone(608) 289-1505
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1417804584 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 · 135140-121
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.
540 E GRAND AVE, Beloit, WI 53511
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kassandra Elizabeth Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981175494
PECOS Enrollment IDI20260605001463
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 53511 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.

DR. DOUGLAS EDWARD KELLEY OD
Optometrist
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 365-8575
TRACY M TOWNE APNP
Nurse Practitioner (Psychiatric/Mental Health)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
SARAH JANE PETERSEN LCSW
Social Worker
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
AMANDA L CARROLL
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
NICHOLAS DEAN DUBIOS-ROSE LCSW
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
HEATHER JOHNSON LCSW
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
ALEXA CRARY MSW, APSW
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087
NICOLETTE ANN MILLER LCSW
Social Worker
540 E GRAND AVE
BELOIT, WI 53511
Rock County (608) 368-8087

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 Kassandra Wilson's NPI number?

The NPI number for Kassandra Wilson is 1417804584. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Kassandra Wilson located?

Kassandra Wilson practices at 540 E Grand Ave, Beloit, WI 53511. The listed phone number is (608) 289-1505.

What is Kassandra Wilson's specialty?

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

Is Kassandra Wilson enrolled in Medicare?

Yes. Kassandra Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kassandra Wilson was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.