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KATIE JACOBY MCCRACKEN CAPSW, SAC-IT
NPI 1669004198
Social Worker in Green Bay, WI

Active since February 12, 2020PECOS Enrolled
300 CROOKS ST, GREEN BAY, WI 54301(920) 436-6800(920) 432-5966 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2021, Oct 15, 2020, Feb 12, 2020 (3 updates tracked since 2020).

About Katie Jacoby Mccracken Capsw, Sac-it NPPES

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

KATIE JACOBY MCCRACKEN CAPSW, SAC-IT (NPI 1669004198) is an individual social worker in Green Bay, Wisconsin, licensed in Wisconsin (130643) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669004198
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKATIE JACOBY MCCRACKENCredential: CAPSW, SAC-IT
Location Address300 CROOKS STGreen Bay, WI 54301-4527
Mailing AddressPo Box 22308Green Bay, WI 54305-2308 · (920) 436-6800 · Fax (920) 432-5966
Phone(920) 436-6800
Fax(920) 432-5966
Sole ProprietorNo
Enumeration DateFebruary 12, 2020
Last NPPES UpdateOctober 1, 20213 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1669004198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WI · 130643
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17661 (WI), 16558 (WI)
300 CROOKS ST, Green Bay, WI 54301
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Other Names 1

Former Name (1)Katie Jacoby Capsw, Sac-it

Other Identifiers 1

Medicaid1669004198WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Jacoby Mccracken Capsw, Sac-it 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 Reassignment

Medicare enrollment records show Katie Jacoby Mccracken reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vivent Health Inc
101 mi
Mental Health (Including Community Mental Health Center)
1311 N 6TH ST
Milwaukee, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 34 clinicians in this Medicare group
NPI 1770721607 (414) 223-6800

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

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.

JAYNE E VON DER LINDEN MSW
Social Worker (Clinical)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
BRENDA J MALCOREQ BS
Social Worker
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
REBECCA MARIE BARRETT MSW APSW
Social Worker (Clinical)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
KATHRYN HERMAN
Counselor (Professional)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
MADYSEN J THAYSE MSW, APSW
Social Worker (Clinical)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
CLARISSA DETRIE MSW
Counselor (Mental Health)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
JENNIFER HARRIS-FORBES
Counselor (Professional)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-4360
MICHELLE GAUGER MSE, LPC, SAC
Counselor (Addiction (Substance Use Disorder))
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800

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 Katie Jacoby Mccracken's NPI number?

The NPI number for Katie Jacoby Mccracken is 1669004198. It was assigned to this individual provider in the NPPES registry on February 12, 2020. The provider is also known as Katie Jacoby Capsw, Sac-It.

Where is Katie Jacoby Mccracken located?

Katie Jacoby Mccracken practices at 300 Crooks St, Green Bay, WI 54301. The listed phone number is (920) 436-6800.

What is Katie Jacoby Mccracken's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Katie Jacoby Mccracken enrolled in Medicare?

Yes. Katie Jacoby Mccracken is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katie Jacoby Mccracken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Jacoby Mccracken reassigns Medicare benefits to Vivent Health Inc (Milwaukee, 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 Katie Jacoby Mccracken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Jacoby Mccracken accept?

Health plans from Quartz list Katie Jacoby Mccracken 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 Katie Jacoby Mccracken was last updated on October 1, 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.