Provider Demographics
NPI:1952285496
Name:CONNOR, KELSEY (APSW)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:CONNOR
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 BUSH ST
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55921-1743
Mailing Address - Country:US
Mailing Address - Phone:507-459-9566
Mailing Address - Fax:
Practice Address - Street 1:205 5TH AVE S STE 508512
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-9202
Practice Address - Country:US
Practice Address - Phone:608-377-7488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI135628-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical