Fritz, Kimberly Jo
Fritz, Kimberly Jo is an individual health care provider with primary practice located at 705 E Timber Dr , Rhinelander WI 54501-2859. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fritz, Kimberly Jo can be contacted via phone (715) 369-2215.Contact Information
Primary practice address
705 E Timber Dr
Rhinelander WI 54501-2859
Phone: (715) 369-2215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Wisconsin | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11688-123 | Wisconsin |
Profile Details
| NPI number | 1770265282 |
|---|---|
| LBN Legal business name | Fritz, Kimberly Jo |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2023 |
| Last updated | Apr 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770265282 | NPPES |
| Wisconsin | MEDICAID | 100268845 | |
| Wisconsin | Other | 251S00000X |
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