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

Rebecca Ann Kersten, LCSW

Individual provider Mental Health Counselor · NPI 1407410418

Rebecca Ann Kersten, LCSW is a Clinical Social Worker in Menasha, Wisconsin. Qualified in 2014, 12 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2019
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.

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Practice location Address checks out

1095 Midway Rd
Menasha, WI 54952-1115
Phone: (920) 720-2300
Fax: (920) 720-3719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2807 E Lourdes Dr, Appleton, WI 54915-3914 — (920) 931-4229

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9117 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 9117-123 (WI)

Record details

NPI number1407410418
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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