Individual provider Active NPI

Christi M Nowland, MSSW LICSW

  • Clinical Social Worker
  • La Crosse, WI
National Provider Identifier
1003898990
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7597-123 Issued in WI
Practice address
319 Main St Ste 510
La Crosse, WI 54601-0710
Phone
(608) 461-1785
Fax
(608) 796-1114
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6559 MN
Clinical Social Worker 1041C0700X 7597-123 WI Primary

Addresses

Primary practice location

319 Main St Ste 510
La Crosse, WI 54601-0710

Mailing address

319 Main St Ste 510
La Crosse, WI 54601-0710
Phone (608) 461-1785

Other identifiers 3

IdentifierTypeStateIssuer
140015OtherMNU CARE
21D62NOOtherMNBCBS
732690400MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000561 WI Practitioner - Clinical Social Worker 9436391786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garrison Counseling, Inc. CurrentSince Jul 10, 2013 Accepting new patients

Locations

319 Main St
Ste 510
La Crosse, WI 54601
Phone (608) 496-1114

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1003898990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MAIN ST STE 510",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546010710",
            "telephone_number": "608-461-1785",
            "fax_number": "608-796-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MAIN ST STE 510",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546010710",
            "telephone_number": "608-461-1785",
            "fax_number": "608-796-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLAND",
        "first_name": "CHRISTI",
        "middle_name": "M",
        "credential": "MSSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "6559",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7597-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "140015",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21D62NO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "732690400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.