Roberta A. Bronecki, LCSW
NPI 1205830965ActiveIndividual· Social Worker, Clinical· Mauston, WI
Social Worker, Clinical (LCSW) with Pine Valley Integrated Services LLC, practicing in Mauston, Wisconsin. Medicare paid $6,214 for services to 27 patients in 2024.
Overview
| NPI | 1205830965 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jun 10, 2005 |
| Last updated in NPPES | May 23, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 7163-123 | WI |
| Social Worker, Clinical | 1041C0700X | 7163 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 27 |
|---|---|
| Services billed | 122 across 5 procedure codes |
| Paid by Medicare | $6,214 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Pine Valley Integrated Services LLCMauston, WI · 5 clinicians
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