MICHELE BAHL (LCSW) – Clinical Social Worker, NPI 1376762682

MICHELE BAHL (LCSW) is a healthcare provider. based in Madison, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 7330-123 (WI). The NPI Number for MICHELE BAHL (LCSW) is 1376762682

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE BAHL (LCSW)
NPI
1376762682
Phone
Not provided
Address
625 W WASHINGTON AVE
Enumeration Date
25 April 2007
Last Update Date
29 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9206743105
Graduation Year
2000 (26 years ago)
PAC ID
2769707421
Group Practice PAC ID
2264496801
Professional Enrollment ID
I20150220002338
Address ID
WI535499803JE1541XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for MICHELE BAHL (LCSW)

  • 625 W WASHINGTON AVE

    MADISON, WI 537032637

    Phone:

    Type: Mailing

  • 1541 ANNEX RD

    JEFFERSON, WI 535499803

    Phone: (920) 674-3105

    Fax: (920) 674-6113

    Type: Mailing

  • 1265 JOHN Q HAMMONS DR

    MADISON, WI 537171921

    Phone: (608) 251-4156

    Type: Mailing

  • 8202 EXCELSIOR DR

    MADISON, WI 537171906

    Phone: (608) 251-4156

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150220002338IClinical Social WorkerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 53703)

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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: 2264496801View full group profile
NameSpecialtyState
Nurse PractitionerWI
Mental Health CounselorWI
P S Y C H I A T R YWI
Clinical Social WorkerWI
-WI
Clinical Social WorkerWI
Nurse PractitionerWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

How do I look up MICHELE BAHL (LCSW) by NPI?
Use NPI 1376762682 when you need to reference MICHELE BAHL (LCSW) in forms, claims, or directories.
Does this profile mean MICHELE BAHL (LCSW) is currently active?
Yes — MICHELE BAHL (LCSW) appears active in the national provider directory.
Does MICHELE BAHL (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for MICHELE BAHL (LCSW). Clinical services aligned with this taxonomy classification.
Where does public data place MICHELE BAHL (LCSW)?
The snapshot lists Madison, Wisconsin for MICHELE BAHL (LCSW); download NPPES for the complete set.
What if Madison, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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