MS. KATHLEEN M O NEILL (MSW LCSW) – Clinical Social Worker, NPI 1881679173

MS. KATHLEEN M O NEILL (MSW LCSW) is a healthcare provider. based in Watertown, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW LCSW. They hold a License No. 6684123 (WI). The NPI Number for MS. KATHLEEN M O NEILL (MSW LCSW) is 1881679173

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHLEEN M O NEILL (MSW LCSW)
NPI
1881679173
Phone
(920) 262-4800
Address
129 HOSPITAL DR
Enumeration Date
9 December 2005
Last Update Date
28 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202624800
Graduation Year
1993 (33 years ago)
PAC ID
0648229567
Group Practice PAC ID
8022329408
Professional Enrollment ID
I20050118001018
Address ID
WI530983320WA123XXDRXX305
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for MS. KATHLEEN M O NEILL (MSW LCSW)

  • 129, Hospital Drive, Watertown, Dodge County, Wisconsin, 53098, United States

    WATERTOWN, WI 530983334

    Phone: (920) 262-4800

    Fax: (920) 262-4813

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-18

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
I20050118001018IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour10115$0
View full utilization report →

Insurance plans in this area (ZIP 53098)

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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: 8022329408View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWI
-WI
O P T O M E T R YTX
Interventional Cardiology, Cardiovascular Disease (Cardiology), Nuclear MedicineFL
Physician AssistantWI
U R O L O G YWI
Nurse PractitionerWI
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Where can patients find MS. KATHLEEN M O NEILL (MSW LCSW)'s NPI?
You can confirm MS. KATHLEEN M O NEILL (MSW LCSW) with NPI 1881679173; it appears in the national provider directory.
Is MS. KATHLEEN M O NEILL (MSW LCSW) currently active in the NPI registry?
CMS-published data lists MS. KATHLEEN M O NEILL (MSW LCSW) as an active registrant.
What kind of provider is MS. KATHLEEN M O NEILL (MSW LCSW)?
The page reflects Clinical Social Worker for MS. KATHLEEN M O NEILL (MSW LCSW). Clinical services aligned with this taxonomy classification.
What location shows for MS. KATHLEEN M O NEILL (MSW LCSW)?
We surface Watertown, Wisconsin for MS. KATHLEEN M O NEILL (MSW LCSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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