Healthcare Provider Details

I. General information

NPI: 1053236372
Provider Name (Legal Business Name): CAROLINE CREHAN NEUMANN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 S PATERSON ST STE 120
MADISON WI
53703-3517
US

IV. Provider business mailing address

4426 CRESTED OWL LN
MADISON WI
53718-4004
US

V. Phone/Fax

Practice location:
  • Phone: 608-535-8150
  • Fax:
Mailing address:
  • Phone: 262-989-7202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12489-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: