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KATHLEEN ROSE MACK LCSW
NPI 1619560992
Social Worker - Clinical in Glendale, WI

Active since February 17, 2021PECOS Enrolled
5555 N PORT WASHINGTON RD STE 200, GLENDALE, WI 53217(262) 789-1191 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Rose Mack Lcsw NPPES

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

KATHLEEN ROSE MACK LCSW (NPI 1619560992) is an individual clinical provider in Glendale, Wisconsin, licensed in Wisconsin (9613-123) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619560992
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN ROSE MACKCredential: LCSW
Location Address5555 N PORT WASHINGTON RD STE 200Glendale, WI 53217-4927
Mailing Address2459 N 83rd StWauwatosa, WI 53213-1024 · (414) 507-4730
Phone(262) 789-1191
Sole ProprietorNo
Enumeration DateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1619560992 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 · 9613-123
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.
5555 N PORT WASHINGTON RD STE 200, Glendale, WI 53217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Rose Mack Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53217 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 13

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

JEFFREY M NERONE
Counselor (Professional)
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217
Milwaukee County (262) 789-1191
SUSAN E COHEN LCSW
Social Worker (Clinical)
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217
Milwaukee County (262) 999-3495
DAVID C POEHLMANN CSAC, LCSW, ICS
Social Worker (Clinical)
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217
Milwaukee County (262) 999-3495
MS. MARIE-THERESE HELLRUNG MS, LMFT
Marriage & Family Therapist
5555 N PORT WASHINGTON RD STE 200, SUITE 100
GLENDALE, WI 53217
Milwaukee County (262) 789-1191
BRADLEY KYLE BROWN LPC
Counselor (Professional)
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217
Milwaukee County (262) 999-3495
NAKITA DOMINIQUE CLEVELAND HICKLES LPC
Counselor (Professional)
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217
Milwaukee County (262) 999-3495
MS. KARI LYNN DI FONZO LCSW,
Social Worker (Clinical)
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217
Milwaukee County (262) 999-3495
CHRISTOPHER WOJNAR PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5555 N PORT WASHINGTON RD STE 200
GLENDALE, WI 53217
Milwaukee County (262) 999-3495

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 Mack's NPI number?

The NPI number for Kathleen Mack is 1619560992. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Where is Kathleen Mack located?

Kathleen Mack practices at 5555 N Port Washington Rd Ste 200, Glendale, WI 53217. The listed phone number is (262) 789-1191.

What is Kathleen Mack's specialty?

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

Is Kathleen Mack enrolled in Medicare?

Yes. Kathleen Mack is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Mack accept?

Health plans from CareSource (Common Ground Healthcare) list Kathleen Mack 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 Mack was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.