Active NPI
Maryjo Jo Onsager, ADVANCED PRACTICE SO
- Social Worker
- Mauston, WI
National Provider Identifier
1104883396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1358121
- Practice address
- Juneau County Dept of Human Services
200 Hickory St
Mauston, WI 53948 - Phone
- (608) 847-2400
- Fax
- (608) 847-9599
- NPI assigned
- May 1, 2006
- 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 | 1358121 | WI | Primary |
Addresses
Primary practice location
Juneau County Dept of Human Services
200 Hickory St
Mauston, WI 53948
Mailing address
Juneau County Dept of Human Services
200 Hickory St
Mauston, WI 53948
Phone (608) 847-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39788400 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1358121 | WI | MD | Social Worker |
| 7361 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1104883396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JUNEAU COUNTY DEPT OF HUMAN SERVICES",
"address_2": "200 HICKORY ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "53948",
"telephone_number": "608-847-2400",
"fax_number": "608-847-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JUNEAU COUNTY DEPT OF HUMAN SERVICES",
"address_2": "200 HICKORY ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "53948",
"telephone_number": "608-847-2400",
"fax_number": "608-847-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONSAGER",
"first_name": "MARYJO",
"middle_name": "JO",
"credential": "ADVANCED PRACTICE SO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "1358121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39788400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.