Justina Kimmel, MSW, LCSW
Social Worker, Clinical in Baraboo, WI. Individual provider (NPI-1).
NPI number1679959654
StatusActive
Last updated in NPPESMay 27, 2021
Details
- NPI
- 1679959654
- Entity type
- Individual (NPI-1)
- Name
- Justina Kimmel
- Credential
- MSW, LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2015
- Certification date
- May 27, 2021
- Last updated
- May 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 8801 | WI | Yes |
| 104100000X | Social Worker | 129537-121 | WI |
Other names
- Justina Olrick (Former Name)
Practice location
717 South Blvd Ste 9Baraboo, WI 53913-3139
Phone 608-630-1519
Mailing address
717 South Blvd Ste 9Baraboo, WI 53913-3139
Phone 608-630-1519
Other practice locations
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Clinical Social Worker providers in Baraboo · All 502 providers in Baraboo
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