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Active NPI 1205830965 Individual Practitioner Female Practitioner

Roberta A Bronecki , LCSW

Social Worker - Clinical • Mauston, WI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Roberta Bronecki, LCSW is a registered Social Worker - Clinical practitioner in Mauston, WI. With approximately 24 years of clinical practice since completing medical education in 2002, Roberta Bronecki provides healthcare services at the registered practice location at 124 GRAYSIDE AVE.

Roberta Bronecki is affiliated with Pine Valley Integrated Services Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

124 Grayside Ave

Mauston, WI 539481913

Telephone 6088477575
Fax 6088473096
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Mauston, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +5.7 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Mauston, WI (4282 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bronecki (24 Years) 24 Yrs
Mauston Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
88 18 $157.82 $74.27
90791 Psychiatric diagnostic evaluation
15 11 $378.00 $123.66

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License WI 7163-123

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License WI 7163

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
40983800 (WI)
Commercial Insurance / Payer ID Caqh
11988111
Commercial Insurance / Payer ID Agency Npi Number
1013375104 (WI)

Hospital & Practice Group Affiliations

Pine Valley Integrated Services Llc

124 Grayside Ave, Mauston, WI 539481913

Phone: 6088477575

Secondary Practice Locations

610 E Taylor St

Prairie Du Chien, WI 538212109

Phone: 6083262815

Practice Associates & Co-Workers

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

9 Associated Practitioners
Christina Mcginn , LPC

Counselor - Professional

NPI 1023669108

Licensed Professional Counselor

NPI 1083229967
Bram Faledas , MS-LPC

Counselor - Mental Health

NPI 1154969673

MSLPC

Genevieve Geffert , LPC

Counselor - Professional

NPI 1437797958

Licensed Professional Counselor

Sandra Ahlquist , MS

Counselor - Professional

NPI 1457098592

Master of Science

Mary Gerrard

Counselor - Mental Health

NPI 1700409414

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 23, 2019

Registered at 124 GRAYSIDE AVE, MAUSTON, WI 539481913 (Tel: 6088477575)

📍
Updated Business Mailing Address May 23, 2019

Registered at PO BOX 359, MAUSTON, WI 539480359 (Tel: 6088477575)

👤
Provider Name / Credentials Updated May 23, 2019

Recorded as ROBERTA BRONECKI, LCSW

NPI Profile Active August 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2016

Registered at 610 E TAYLOR ST, PRAIRIE DU CHIEN, WI 538212109 (Tel: 6083262815)

📍
Updated Business Mailing Address August 03, 2016

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

👤
Provider Name / Credentials Updated August 03, 2016

Recorded as ROBERTA BRONECKI, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2016

Social Worker (License #7163 in WI)

🟢
Initial NPI Registration & Enumeration June 10, 2005

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: 1205830965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2005
Last Update: May 23, 2019
Sole Proprietor: No

Mailing Address

Po Box 359

Mauston, WI 539480359

Phone: 6088477575

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.