Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Elizabeth Wilson, CAPSWDSPS121-1146

Individual provider Clinical Social Worker · NPI 1285358812

Kristin Elizabeth Wilson, CAPSWDSPS121-1146 is a Clinical Social Worker in Monona, Wisconsin. Qualified in 1995, 31 years ago. Practices with Lake City Counseling, LLC, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
31
Licensed in
WI
In the registry since
2022
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Practice location Address checks out

1532 W Broadway Ste 202
Monona, WI 53713-1828
Phone: (608) 661-2829
Fax: (608) 661-0907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6534 Shower Rd, Mazomanie, WI 53560-9601 — (608) 535-7351
  • 2829 Royal Ave Ste 200, Monona, WI 53713-1535 — (608) 661-2829

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 121-1146 (WI)

Record details

NPI number1285358812
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAPSWDSPS121-1146
Sole proprietorYes
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Lake City Counseling, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monona