Active NPI
Sunny Jo Wilson, MSW, CAPSW
- Social Worker
- Wisconsin Rapids, WI
National Provider Identifier
1104603034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 130437-121
- Practice address
- 700 Hale St
Wisconsin Rapids, WI 54495-2787 - Phone
- (715) 424-4682
- NPI assigned
- Sep 13, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 130437-121 | WI | Primary |
Addresses
Primary practice location
700 Hale St
Wisconsin Rapids, WI 54495-2787
Mailing address
1041 Wylie St
Wisconsin Rapids, WI 54494-3559
Phone (218) 260-9575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130437-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1104603034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 WYLIE ST",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544943559",
"telephone_number": "218-260-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HALE ST",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544952787",
"telephone_number": "715-424-4682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SUNNY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "MSW, CAPSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "130437-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.