Active NPI
Nathan Putnam, MSW, CAPSW
- Clinical Social Worker
- Janesville, WI
National Provider Identifier
1003265133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9024-123
- Practice address
- 612 N Randall Ave
Janesville, WI 53545-1958 - Phone
- (608) 752-7660
- Fax
- (608) 752-9788
- NPI assigned
- Jun 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9024-123 | WI | Primary |
Addresses
Primary practice location
612 N Randall Ave
Janesville, WI 53545-1958
Mailing address
612 N Randall Ave
Janesville, WI 53545-1958
Phone (608) 752-7660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Janesville, WI
- NPI 1386719177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1003265133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 N RANDALL AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535451958",
"telephone_number": "608-752-7660",
"fax_number": "608-752-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 N RANDALL AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535451958",
"telephone_number": "608-752-7660",
"fax_number": "608-752-9788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "NATHAN",
"credential": "MSW, CAPSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9024-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.