Michael S Hyduke, MSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

541123 Issued in WI

Practice address

2500 Hall Ave
Suite a Marinette County Health and Human Services
Marinette, WI 54143

Phone

(715) 732-7760

Fax

(715) 732-7711

NPI assigned

Oct 12, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1073602397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HALL AVE",
            "address_2": "SUITE A MARINETTE COUNTY HEALTH AND HUMAN SERVICES",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "715-732-7760",
            "fax_number": "715-732-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HALL AVE",
            "address_2": "SUITE A MARINETTE COUNTY HEALTH AND HUMAN SERVICES",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "715-732-7760",
            "fax_number": "715-732-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDUKE",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "541123",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "541123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39627200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "541123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Huberty, SLP
• Krystal Hughes
• Ashley Nichole Huntley, PA-C
• Jarod E. Husmann, PT
• Micheline Hyacinthe, MD
• Ihc-Bay Area Emergency Physicians, LLC
• Ihc-Bay Area Emergency Physicians, LLC
• Linda Immel
• Integrated Mental Health Service, S.C.
• Sheri Lynn Isaacson

• Addiction (Substance Use Disorder) Counselor in Marinette, WI
• Providers in Marinette, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.