Provider Demographics
NPI:1437767159
Name:BARTELS, CARRIE KATE (LCSW)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:KATE
Last Name:BARTELS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:KATE
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1265 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53818-1933
Mailing Address - Country:US
Mailing Address - Phone:608-642-0835
Mailing Address - Fax:
Practice Address - Street 1:530 S WATER ST STE 3
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-3626
Practice Address - Country:US
Practice Address - Phone:608-348-5088
Practice Address - Fax:608-348-3302
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10165-123101YM0800X, 104100000X
WI132071-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100116302Medicaid