Individual provider Active NPI

Juelette Higuera, MSW,LCSW

  • Clinical Social Worker
  • Schofield, WI
National Provider Identifier
1073671681
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7230-123 Issued in WI
Practice address
219 Ross Ave Ste 100
Schofield, WI 54476-6110
Phone
(715) 421-9707
Fax
(715) 298-0794
NPI assigned
Dec 5, 2006
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7230-123 WI Primary

Addresses

Primary practice location

219 Ross Ave Ste 100
Schofield, WI 54476-6110

Mailing address

219 Ross Ave Ste 100
Schofield, WI 54476-6110
Phone (715) 297-4635

Other identifiers 1

IdentifierTypeStateIssuer
40936100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131118001700 WI Practitioner - Clinical Social Worker 4082840202 Reassigns benefits to 1 organization
I20260415002523 ID Practitioner - Clinical Social Worker 4082840202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

219 Ross Ave
Suite 100
Schofield, WI 54476-6110
Phone (715) 297-4635

371 N Baxter Way
Eagle, ID 83616-5514
Phone (715) 421-9707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7230-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Body Solutions LLC Clinical CurrentSince Jan 9, 2025 Accepting new patients
Behavioral Health Solutions of Idaho PastSince Nov 7, 2025 Accepting new patients
Primary Connection Health Care, Inc. Past Accepting new patients

Locations

219 Ross Ave
Ste 100
Schofield, WI 54476
Phone (715) 297-4635

Interoperability endpoints

  • Direct secure messaging: juelette.higuera.1@24259.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1073671681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ROSS AVE STE 100",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544766110",
            "telephone_number": "715-297-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 ROSS AVE STE 100",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544766110",
            "telephone_number": "715-421-9707",
            "fax_number": "715-298-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGUERA",
        "first_name": "JUELETTE",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7230-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40936100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield, WI

Sources for this page

Verify at the official NPI Registry.