Active NPI
Ramona L. Wilzbacher, MSW, LCSW
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1013230093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005668A
- Practice address
- 60 S. Stockwell Road
Evansville, IN 47714-0247 - Phone
- (812) 476-5437
- Fax
- (812) 422-7558
- NPI assigned
- Mar 5, 2010
- Sex
- Female
- 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 | 34005668A | IN | Primary |
Addresses
Primary practice location
60 S. Stockwell Road
Evansville, IN 47714-0247
Mailing address
415 Mulberry Street
Evansville, IN 47713-1230
Phone (812) 423-7791
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000673945 | Other | IN | ANTHEM |
| 12138317 | Other | IN | CAQH |
| 100240880 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL PPO Downstate
- IL HMO C-SNP
- OH PPO
- KY PPO C-SNP
- KY PPO
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.
-
- Psychiatry Physician
- Evansville, IN
- NPI 1427362201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1013230093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MULBERRY STREET",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131230",
"telephone_number": "812-423-7791",
"fax_number": "812-422-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 S. STOCKWELL ROAD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140247",
"telephone_number": "812-476-5437",
"fax_number": "812-422-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILZBACHER",
"first_name": "RAMONA",
"middle_name": "L.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-05",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005668A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000673945",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12138317",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100240880",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.