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

Traci Koziczkowski, MSWLCSWSAC

Individual provider Social Worker · NPI 1558033787

Traci Koziczkowski, MSWLCSWSAC is a Clinical Social Worker in Stevens Point, Wisconsin. Qualified in 2021, 5 years ago. Practices as a sole proprietor.

Years since qualifying
5
In the registry since
2021

Practice location Address checks out

101 Division St N Unit 3
Stevens Point, WI 54481-1183
Phone: (715) 600-3568
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1558033787
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWLCSWSAC
Sole proprietorYes
NPI enumeratedOctober 5, 2021
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing address101 Division St N Unit 3, Stevens Point, WI 54481-1183

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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