Tonia Yvette Backman, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

8836-123 Issued in WI

Practice address

1810 North 2ND Street
Wausau, WI 54403

Phone

(715) 848-4884

Fax

(715) 845-5385

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tall Pines Behavioral Health LLC 5 clinicians

Charis Counseling LLC 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Charis Counseling, LLC

  • Professional Counselor
  • Wausau, WI
  • NPI 1427144054

  WI

  Medicare reassignment Care Compare group NPD
• Tall Pines Behavioral Health LLC

  • Health Service Psychologist
  • Wausau, WI
  • NPI 1215519764

  WI

  Medicare reassignment Care Compare group NPD
• Primary Connection Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wausau, WI
  • NPI 1457370744

  WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1033468947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 NORTH 2ND STREET",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-848-4884",
            "fax_number": "715-845-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 NORTH 2ND STREET",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-848-4884",
            "fax_number": "715-845-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKMAN",
        "first_name": "TONIA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "127692-121",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "8836-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028416",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ayer, PTA
• Savannah Lynn Baade
• Joseph W Babiarz, M.D.
• Miranda Tina Martha Babl, LPC
• Debra Jean Backes, R.D.H.
• Badger Pharmacy LLC
• Badger Pharmacy LLC
• Badger Pharmacy LLC
• Katelin Bagley
• Baker Borski Chiropractic SC

• All providers in Wausau, WI
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.