Kenneth Roy Sann, LCSW, CSAC, ICS
NPI 1134690993ActiveIndividual· Social Worker, Clinical· Green Bay, WI
Social Worker, Clinical (LCSW, CSAC, ICS) with Foundations Health and Wholeness Inc, practicing in Green Bay, Wisconsin. Medicare paid $4,982 for services to 15 patients in 2024.
Overview
| NPI | 1134690993 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, CSAC, ICS |
| Sole proprietor | No |
| NPI issued | Dec 5, 2018 |
| Last updated in NPPES | Dec 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 85 across 5 procedure codes |
| Paid by Medicare | $4,982 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Foundations Health and Wholeness IncGreen Bay, WI · 9 clinicians
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