VIRGINIA V FENNEMA (MSW, LCSW) – Mental Health Counselor, NPI 1376560946

VIRGINIA V FENNEMA (MSW, LCSW) is a healthcare provider. based in Kenosha, Wisconsin. specializing in Mental Health Counselor. They hold the professional credentials MSW, LCSW. They hold a License No. 1507-123 (WI). The NPI Number for VIRGINIA V FENNEMA (MSW, LCSW) is 1376560946

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
VIRGINIA V FENNEMA (MSW, LCSW)
NPI
1376560946
Phone
(262) 652-7222
Address
6121 GREEN BAY RD
Enumeration Date
17 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2626527222
Graduation Year
1988 (38 years ago)
PAC ID
6608000674
Group Practice PAC ID
8426086232
Professional Enrollment ID
I20131004000394
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for VIRGINIA V FENNEMA (MSW, LCSW)

  • 6121, Green Bay Road, Stocker, Kenosha, Kenosha County, Wisconsin, 53142, United States

    SUITE 220

    KENOSHA, WI 531422926

    Phone: (262) 652-7222

    Fax: (262) 652-1734

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53142)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426086232View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for VIRGINIA V FENNEMA (MSW, LCSW)?
VIRGINIA V FENNEMA (MSW, LCSW) — NPI 1376560946 — is the standard way to identify this listing.
Can I rely on VIRGINIA V FENNEMA (MSW, LCSW) being an active provider?
As of the registry snapshot, VIRGINIA V FENNEMA (MSW, LCSW) is marked active.
What taxonomy line describes VIRGINIA V FENNEMA (MSW, LCSW)?
For research purposes, treat VIRGINIA V FENNEMA (MSW, LCSW) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does VIRGINIA V FENNEMA (MSW, LCSW) serve?
VIRGINIA V FENNEMA (MSW, LCSW)'s listing highlights Kenosha, Wisconsin; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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