Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donna Jean Kettner, LCSW

Individual provider Case Manager/Care Coordinator · NPI 1619158151

Donna Jean Kettner, LCSW is a Clinical Social Worker in Sparta, Wisconsin. Qualified in 1992, 34 years ago. Practices with Gundersen Clinic Ltd, a 427-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
34
Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1111 W Wisconsin St
Sparta, WI 54656-2233
Phone: (608) 269-1588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 409 County Road R, Black River Falls, WI 54615-5129 — (715) 284-9477

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2647 (WI)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1619158151
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 26, 2007
Last updated in NPPESMay 2, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Gundersen Clinic Ltd — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services