Individual provider Active NPI

Maryjo Jo Onsager, ADVANCED PRACTICE SO

  • Social Worker
  • Mauston, WI
National Provider Identifier
1104883396
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1358121 Issued in WI
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

Updated by the provider on Jun 29, 2018

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 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

IdentifierTypeStateIssuer
39788400MedicaidWI

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

LicenseStateTypeSpecialty
1358121WIMDSocial Worker
7361WIMDNurse 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.

Verify at the official NPI Registry.