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Traci Koziczkowski, MSW LCSW SAC

NPI 1558033787ActiveIndividual· Social Worker· Stevens Point, WI

Social Worker (MSW LCSW SAC) in Stevens Point, Wisconsin, with an NPI issued in October 2021. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1558033787
StatusActive
Entity typeIndividual
CredentialMSW LCSW SAC
Sole proprietorYes
NPI issuedOct 5, 2021
Last updated in NPPESApr 1, 2024
Certified by providerApr 1, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker Primary104100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (WI)

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyClinical Social Worker

Source: CMS Care Compare

Other Social Worker providers in Stevens Point

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