Individual provider Active NPI

Jessica Cary

  • Clinical Social Worker
  • Neillsville, WI
National Provider Identifier
1093262016
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11801 Issued in WI
Practice address
517 Court St RM 503
Neillsville, WI 54456-1976
Phone
(715) 743-5208
Fax
(715) 743-5209
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 11801 WI Primary

Addresses

Primary practice location

517 Court St RM 503
Neillsville, WI 54456-1976

Mailing address

1021 N Hume Ave Apt 8
Marshfield, WI 54449-1785
Phone (906) 367-2506

Other identifiers 1

IdentifierTypeStateIssuer
100187067MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240725001848 WI Practitioner - Clinical Social Worker 0143766261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Clark CountyGroup PAC ID 3476464843, 7 clinicians

Practice addresses (Care Compare)

517 Court St
RM 503
Neillsville, WI 54456-1976
Phone (715) 743-5208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clark County CurrentSince Jul 12, 2024 Accepting new patients
Clark County CurrentSince Jul 12, 2024 Accepting new patients

Locations

517 Court St
Rm 503
Neillsville, WI 54456
Phone (715) 743-5192

Organizations & group practices 2

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1093262016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N HUME AVE APT 8",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491785",
            "telephone_number": "906-367-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 COURT ST RM 503",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561976",
            "telephone_number": "715-743-5208",
            "fax_number": "715-743-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100187067",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neillsville, WI

Sources for this page

Verify at the official NPI Registry.