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KELLY JEAN WITT-ERICKSON ICSW CPC
NPI 1801106265
Social Worker - Clinical in Phillips, WI

Active since October 19, 2010PECOS EnrolledAccepts Medicare Assignment
548 NORTH LAKE AVENUE, PHILLIPS, WI 54555(715) 339-6453 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Jean Witt-erickson Icsw Cpc NPPES

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

KELLY JEAN WITT-ERICKSON ICSW CPC (NPI 1801106265) is an individual clinical provider in Phillips, Wisconsin, licensed in Wisconsin (3898-123) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1801106265
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY JEAN WITT-ERICKSONCredential: ICSW CPC
Location Address548 NORTH LAKE AVENUEPhillips, WI 54555
Mailing AddressW5213 Worcester Lake RoadPrentice, WI 54556 · (715) 360-0809
Phone(715) 339-6453
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 19, 2010
✔ NPI 1801106265 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 · 3898-123
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.
548 NORTH LAKE AVENUE, Phillips, WI 54555
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Other Identifiers 1

Medicaid39706000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Jean Witt-erickson Icsw Cpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496999526
PECOS Enrollment IDI20130911000554
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 54555 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.

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 Kelly Witt-erickson's NPI number?

The NPI number for Kelly Witt-erickson is 1801106265. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Where is Kelly Witt-erickson located?

Kelly Witt-erickson practices at 548 North Lake Avenue, Phillips, WI 54555. The listed phone number is (715) 339-6453.

What is Kelly Witt-erickson's specialty?

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

Is Kelly Witt-erickson enrolled in Medicare?

Yes. Kelly Witt-erickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Witt-erickson accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Kelly Witt-erickson 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 Kelly Witt-erickson was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.