Active NPI
Jessica Cary
- Clinical Social Worker
- Neillsville, WI
National Provider Identifier
1093262016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11801
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100187067 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark County | Current | Accepting new patients | |
| Clark County | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Neillsville, WI
- NPI 1598986564
-
- Skilled Nursing Facility
- Owen, WI
- NPI 1497812697
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.