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MISS KIALEAH YVETTE SUMPTER LMSW
NPI 1588084123
Social Worker - Clinical in Sheboygan, WI

Active since April 22, 2014PECOS Enrolled
1721 SAEMANN AVE, SHEBOYGAN, WI 53081(920) 783-6633(920) 783-6392 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Kialeah Yvette Sumpter Lmsw NPPES

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

MISS KIALEAH YVETTE SUMPTER LMSW (NPI 1588084123) is an individual clinical provider in Sheboygan, Wisconsin and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1588084123
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS KIALEAH YVETTE SUMPTERCredential: LMSW
Location Address1721 SAEMANN AVESheboygan, WI 53081-2342
Mailing AddressPo Box 959Sheboygan, WI 53082-0959 · (920) 783-6633 · Fax (920) 783-6392
Phone(920) 783-6633
Fax(920) 783-6392
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 22, 2014
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1588084123 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.
1721 SAEMANN AVE, Sheboygan, WI 53081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Kialeah Yvette Sumpter Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830554609
PECOS Enrollment IDI20230501000198
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 Reassignment

Medicare enrollment records show Kialeah Sumpter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeshore Community Health Care, Inc
0.1 mi
Federally Qualified Health Center (FQHC)
1721 SAEMANN AVENUE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 46 clinicians in this Medicare group
NPI 1144698549 (920) 783-6633

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 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.

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.

CYNTHIA A BAUS RDH
Dental Hygienist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
ERIN MEYER
Social Worker (Clinical)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
ANGELIQUE DAMBRUCH LPC
Counselor (Professional)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 322-6770
CHRISTA WILSON PHARMD
Pharmacist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
MR. CURTIS M SPAULDING RDH
Dental Hygienist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
CHERYL VAN ELLS
Dental Hygienist
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
AMANDA J GROLL LPC
Counselor (Professional)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633
KAYLA JOHNSON LCSW
Social Worker (Clinical)
1721 SAEMANN AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-6633

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 Kialeah Sumpter's NPI number?

The NPI number for Kialeah Sumpter is 1588084123. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Kialeah Sumpter located?

Kialeah Sumpter practices at 1721 Saemann Ave, Sheboygan, WI 53081. The listed phone number is (920) 783-6633.

What is Kialeah Sumpter's specialty?

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

Is Kialeah Sumpter enrolled in Medicare?

Yes. Kialeah Sumpter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kialeah Sumpter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kialeah Sumpter reassigns Medicare benefits to Lakeshore Community Health Care, Inc (Sheboygan, WI). The 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 Kialeah Sumpter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kialeah Sumpter accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare list Kialeah Sumpter 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 Kialeah Sumpter was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.