Kelsey Ann Martin, LCSW, CSAC, ICS
NPI 1104329432ActiveIndividual· Social Worker, Clinical· Onalaska, WI
Social Worker, Clinical (LCSW, CSAC, ICS) in Onalaska, Wisconsin, licensed in WI, with an NPI issued in March 2018. Medicare paid $3,184 for services to 12 patients in 2024.
Overview
| NPI | 1104329432 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, CSAC, ICS |
| Sole proprietor | No |
| NPI issued | Mar 13, 2018 |
| Last updated in NPPES | Feb 17, 2021 |
| Certified by provider | Feb 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 9224 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 55 across 5 procedure codes |
| Paid by Medicare | $3,184 |
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All 20 clinical social workers in Onalaska · All clinical social workers in Wisconsin