Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLYN MELLOM LCSW
NPI 1871272609
Social Worker - Clinical in Middleton, WI

Q: What is Kaitlyn Mellom's NPI number?

The NPI number for Kaitlyn Mellom is 1871272609. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Q: What is Kaitlyn Mellom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Mellom was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since July 18, 2023PECOS Enrolled

8383 GREENWAY BLVD STE 500, MIDDLETON, WI 53562(608) 274-0355 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Jul 18, 2023 (2 updates tracked since 2023).

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About Kaitlyn Mellom Lcsw NPPES

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

KAITLYN MELLOM LCSW (NPI 1871272609) is an individual clinical provider in Middleton, Wisconsin, licensed in Wisconsin (10170-123) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871272609

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKAITLYN MELLOMCredential: LCSW

Location Address8383 GREENWAY BLVD STE 500Middleton, WI 53562-3529

Mailing Address8383 Greenway Blvd Ste 500Middleton, WI 53562-3529 · (608) 212-6965

Phone(608) 274-0355

Sole ProprietorNo

Enumeration DateJuly 18, 2023

Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1871272609 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 · 10170-123

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.

8383 GREENWAY BLVD STE 500, Middleton, WI 53562

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Accepted Insurance

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

Kaitlyn Mellom 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 53562 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 14

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

DR. ALAN R DIMOND MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)