WALTER DREW BRANDLI MSW, LCSW
NPI 1972608610
Social Worker in Fond Du Lac, WI

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4200(920) 926-8885 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 3, 2022, Nov 24, 2020 (2 updates tracked since 2020).

About Walter Drew Brandli Msw, Lcsw NPPES

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

WALTER DREW BRANDLI MSW, LCSW (NPI 1972608610) is an individual social worker in Fond Du Lac, Wisconsin, licensed in Wisconsin (1063) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1972608610
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameWALTER DREW BRANDLICredential: MSW, LCSW
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address430 E Division StFond Du Lac, WI 54935-4560 · (920) 926-4200 · Fax (920) 926-8885
Fax(920) 926-8885
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 14, 2006
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
NPI 1972608610 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 · 1063
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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 1063 (WI)
430 E DIVISION ST, Fond Du Lac, WI 54935

Other Names 1

Professional Name (2)Drew Brandli

Other Identifiers 2

Other12840WI · Dean Health
Medicaid39619800WI

Accepted 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

Walter Drew Brandli Msw, Lcsw 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 ID7416088745
PECOS Enrollment IDI20100629000964
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

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.

Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935
Registered Nurse (Medical-Surgical)
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Physician Assistant
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner (Critical Care Medicine)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Registered Nurse (Medical-Surgical)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972608610, enumerated as an "individual" on September 14, 2006.

The provider is located at 430 E DIVISION ST FOND DU LAC, WI 54935 and the phone number is (920) 926-4200.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Network. Please consult your insurance carrier or call the provider to verify.

Walter Brandli is affiliated with: ST. AGNES HOSPITAL HOSPICE.