MEDICARE: MRS. KRYSTAL A CONKLE MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	130523-121	WI
2	1041C0700X	Clinical Social Worker	9087-123	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9087-123	OTHER	WI	MENTAL HEALTH

General Provider Information

NPI Number	:	1972041317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRYSTAL A CONKLE MSW, LCSW

Provider Business Mailing Address
First Line	:	32 S MAIN ST
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53545-3941
Country	:	US
Telephone Number	:	608-728-0957
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 S MAIN ST
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53545-3941
Country	:	US
Telephone Number	:	608-618-5560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2017
Last Update Date	:	10/16/2023

Similar Medicare Providers

1154308419 — MARY K WOLF LCSW
Practice Location Address:

32 S MAIN ST
JANESVILLE, WI
53545-3941

Practice Phone: 608-618-5560
Practice Fax: 855-277-9589

1972077527 — LOTUS COUNSELING, LLC
Practice Location Address:

32 S MAIN ST
JANESVILLE, WI
53545-3941

Practice Phone: 608-618-5560
Practice Fax: 855-277-9589

1205679099 — BRIANNA HAASE
Practice Location Address:

32 S MAIN ST
JANESVILLE, WI
53545-3941

Practice Phone: 608-554-3019
Practice Fax:

1740283662 — DR. DAVID S ROBINSON DDS
Practice Location Address:

1714 N RANDALL AVE
JANESVILLE, WI
53545-0900

Practice Phone: 608-756-1229
Practice Fax: 608-756-5594

1699770560 — MR. TODD ALLEN NOGGLE MS, LPC, NCC, LCPC
Practice Location Address:

20 E MILWAUKEE ST , STE 210
JANESVILLE, WI
53545-3061

Practice Phone: 608-755-1475
Practice Fax:

1598766784 — SISTERS OF CHARITY OF OUR LADY MOTHER OF THE CHURCH
Practice Location Address:

109 S ATWOOD AVE
JANESVILLE, WI
53545-4098

Practice Phone: 608-752-6709
Practice Fax:

Directions to “ MRS. KRYSTAL A CONKLE MSW, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.