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

Kathleen Mullooly, LCSW

Individual provider Clinical Social Worker · NPI 1215097027

Kathleen Mullooly, LCSW is a Clinical Social Worker in Waukesha, Wisconsin. Qualified in 1996, 30 years ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
30
Licensed in
WI
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

500 Riverview Ave
Waukesha, WI 53188-3632
Phone: (262) 896-6832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6806123 (WI)

Record details

NPI number1215097027
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 11, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated

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