KAREN ANN WERGIN
NPI 1447737531
Social Worker - Clinical in Waukesha, WI
NPI Status: Active since July 23, 2018
Contact Information
514 RIVERVIEW AVE
WAUKESHA, WI
ZIP 53188
Phone: (262) 548-7689
Fax: (262) 548-7643
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About KAREN WERGIN
This page provides the complete NPI Profile along with additional information for Karen Wergin, a provider established in Waukesha, Wisconsin with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1447737531 assigned on July 2018. The practitioner's primary taxonomy code is 1041C0700X with license number 7104-123 (WI). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1447737531
- Provider Name
- KAREN ANN WERGIN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 514 RIVERVIEW AVE WAUKESHA, WI 53188
- Location Phone
- (262) 548-7689
- Location Fax
- (262) 548-7643
- Mailing Address
- 514 RIVERVIEW AVE WAUKESHA, WI 53188
- Mailing Phone
- (262) 548-7689
- Mailing Fax
- (262) 548-7643
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-23-2018
- Last Update Date
- 07-23-2018
- Code Navigator
A clinical social worker like Karen Wergin is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 7104-123
- License State
- WI
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Karen Wergin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53188 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $0
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for KAREN ANN WERGIN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 4 | 7 | 7 | 3 | 7 | 5 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 14 | 3 | 14 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 1 + 4 + 3 + 1 + 4 + 5 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1447737531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396808226 | MR. MARTIN GORDON MILLICHAP MA Individual | Social Worker (Clinical) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7688 |
| 1417011156 | REGINA MARIE BAUER CSAC Individual | Counselor (Addiction (Substance Use Disorder)) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7673 |
| 1437213824 | JOAN KUNICKI LCSW Individual | Social Worker (Clinical) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7678 |
| 1336299817 | MR. RICHARD R. DETTLAFF BS,CSAC Individual | Counselor (Addiction (Substance Use Disorder)) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7666 |
| 1609016252 | ANGELA JEAN SADLER CAPSW Individual | Social Worker | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7849 |
| 1609166131 | DR. SHAWN JOHNSON PSY.D. Individual | Psychologist (Clinical) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7666 |
| 1710226691 | DR. BRIDGET ELIZABETH KANZ PSY.D. Individual | Psychologist | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7665 |
| 1962556605 | JOSE A RUIZ CSAC Individual | Counselor (Addiction (Substance Use Disorder)) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7666 |
| 1871819169 | MRS. JENNIFER LYNN WRUCKE LMFT Individual | Marriage & Family Therapist | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7666 |
| 1063836070 | MARIA DEAN BSW Individual | Case Manager/Care Coordinator | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7338 |
| 1730243908 | LAURIE ELIZABETH KOHLER MSW, APSW Individual | Social Worker (Clinical) | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7849 |
| 1760801302 | ANNIE DAVIDSON Individual | Social Worker | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7997 |
| 1003227091 | MRS. JESSICA GRIMM Individual | Registered Nurse | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 896-8459 |
| 1205247285 | MOLLY LUCZAK Individual | Registered Nurse | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 896-8456 |
| 1275944076 | MRS. HEATHER RENEE HEARD RN Individual | Registered Nurse | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 896-8451 |
| 1487068615 | DAISY TORRES Individual | Technician, Other | 514 RIVERVIEW AVE ATTN: ADMINISTRATIVE SERVICES - FISCAL WAUKESHA, WI 53188 (262) 896-8430 |
| 1134533821 | BERY PEREZ Individual | Technician, Other | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 896-8430 |
| 1497161897 | STACY KURKIEWICZ APSW Individual | Social Worker | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 548-7212 |
| 1346640364 | JULIE KUNATH Individual | Case Manager/Care Coordinator | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 970-4794 |
| 1275933285 | LAUREN FRANSON B.A. Individual | Case Manager/Care Coordinator | 514 RIVERVIEW AVE WAUKESHA, WI 53188 (262) 970-6881 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447737531, enumerated in the NPI registry as an "individual" on July 23, 2018
The provider is located at 514 Riverview Ave Waukesha, Wi 53188 and the phone number is (262) 548-7689
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 23, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.