Individual provider Active NPI

Justine Favorite, LCSW

  • Social Worker
  • Oregon, WI
National Provider Identifier
1093435315
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
165 W Netherwood St
Oregon, WI 53575-1107
Phone
(608) 408-9556
NPI assigned
Aug 29, 2022
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X WI Primary

Addresses

Primary practice location

165 W Netherwood St
Oregon, WI 53575-1107

Mailing address

165 W Netherwood St
Oregon, WI 53575-1107
Phone (608) 835-5050

Other names 1

  • Justine Wiker Other name

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
I20260302001817 WI Practitioner - Clinical Social Worker 0446732234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 W Netherwood St
Oregon Mental Health Services LLC
Oregon, WI 53575-1107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Mental Health Services,LLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

165 W Netherwood St
Oregon, WI 53575
Phone (608) 408-9556

165 W Netherwood St
Ste A
Oregon, WI 53575
Phone (608) 835-5050

Organizations & group practices 1

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1093435315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-835-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-408-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVORITE",
        "first_name": "JUSTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "WIKER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oregon, WI

Sources for this page

Verify at the official NPI Registry.