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

Kenneth Roy Sann, LCSW, CSAC, ICS

Individual provider Clinical Social Worker · NPI 1134690993

Kenneth Roy Sann, LCSW, CSAC, ICS is a Clinical Social Worker in Green Bay, Wisconsin. Qualified in 1996, 30 years ago. Practices with Foundations Health and Wholeness Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
30
Licensed in
WI
In the registry since
2018
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

1061 W Mason St
Green Bay, WI 54303-1858
Phone: (920) 437-8256
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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 (WI)

Record details

NPI number1134690993
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CSAC , ICS
Sole proprietorNo
NPI enumeratedDecember 5, 2018
Last updated in NPPESDecember 5, 2018

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)
Group practice Foundations Health And Wholeness Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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