What is Kassandra Wilson's NPI number?

Kassandra Wilson's National Provider Identifier (NPI) is 1417804584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kassandra Wilson's specialty?

Kassandra Wilson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Kassandra Wilson located?

Kassandra Wilson's practice location on file with NPPES is 540 E Grand Ave, Beloit, WI 53511-6314.

What is Kassandra Wilson's phone number?

The practice phone number listed in the NPPES registry for Kassandra Wilson is (608) 289-1505.

Is Kassandra Wilson's NPI active?

Yes — Kassandra Wilson's NPI (1417804584) is active in the NPPES registry as of the last update on 2026-03-16.

IndividualActive

Kassandra Wilson

NPI 1417804584 · Clinical Social Worker · Beloit, WI

Kassandra Wilson is a Clinical Social Worker provider in Beloit, WI (NPI 1417804584).

Provider details

NPI number: 1417804584
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: 135140-121 (WI)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 135140-121 (WI)
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

540 E Grand Ave

Beloit, WI 53511-6314

Phone: (608) 289-1505

Street-level locationGet directions

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Mailing address