Provider Demographics
NPI:1043677016
Name:GEMIGNANI, KATE (LCSW)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:GEMIGNANI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4700 DRESSER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53546-9160
Mailing Address - Country:US
Mailing Address - Phone:608-752-7255
Mailing Address - Fax:
Practice Address - Street 1:4700 DRESSER DR STE 100
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53546-9160
Practice Address - Country:US
Practice Address - Phone:608-752-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI117361231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty