Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497767040 Individual Practitioner Male Practitioner

Richard J Bronecki , LISW, CEAP, SAP

Social Worker • Beaver Dam, WI

Professional Overview & Biography Verified Profile Summary

Richard Bronecki, LISW, CEAP, SAP is a registered healthcare professional specializing in Social Worker in Beaver Dam, WI. Practice services are available at 108 N LINCOLN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 N Lincoln Ave

Beaver Dam, WI 539162110

Telephone 9208878751
Fax 9209227440
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Beaver Dam, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Beaver Dam, WI (1954 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License WI 3034123

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
39241100 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Carla Cartwright , SAC

Counselor - Addiction (Substance Use Disorder)

NPI 1114276839
NPI 1235161373

Doctor of Philosophy (Ph.D.)

Christine Frazier , LPC-IT

Counselor - Mental Health

NPI 1316742927

LPCIT

Daniel Massie , LCSW, CSAC, CS-IT

Social Worker - Clinical

NPI 1427355445

Licensed Clinical Social Worker, Certified Substance Abuse Counselor, CSIT

Debra Conway , MS LPC

Counselor - Professional

NPI 1457439895

MSLPC

NPI 1508110289

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 108 N LINCOLN AVE, BEAVER DAM, WI 539162110 (Tel: 9208878751)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1040 E CAPITOL DR, HARTLAND, WI 530292214 (Tel: 2626231033)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD BRONECKI, LISW, CEAP, SAP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #3034123 in WI)

🟢
Initial NPI Registration & Enumeration August 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497767040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1040 E Capitol Dr

Hartland, WI 530292214

Phone: 2626231033

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.