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KATIE JACOBY MCCRACKEN CAPSW SAC-IT NPI 1669004198


NPI Information

NPI: 1669004198
Provider Name: KATIE JACOBY MCCRACKEN, CAPSW, SAC-IT
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
300 CROOKS ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 436-6800
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Katie Jacoby Mccracken, CAPSW, SAC-IT is a social worker in Green Bay, WI. The provider is 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. Katie Jacoby Mccracken, CAPSW, SAC-IT NPI is 1669004198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 CROOKS ST
GREEN BAY, WI
ZIP 54301-527
Phone: (920) 436-6800
Fax: (920) 432-5966

The NPI 1669004198 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/12/2020 and was last updated on 10/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)17661WISCONSINNo
2101YA0400XCounselorAddiction (Substance Use Disorder)16558WISCONSINNo
3104100000XSocial Worker130643WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11669004198MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.