Individual provider Active NPI

Anne J Lupo Gondwe, APSW

  • Social Worker
  • Siren, WI
National Provider Identifier
1114538162
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
132006121 Issued in WI
Practice address
24178 1St Ave Ste 2
Siren, WI 54872-8220
Phone
(715) 349-8913
Fax
(715) 349-8981
NPI assigned
Aug 13, 2020
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 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 132006121 WI Primary

Addresses

Primary practice location

24178 1St Ave Ste 2
Siren, WI 54872-8220

Mailing address

PO Box 218
Siren, WI 54872-0218
Phone (715) 566-1739

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
I20230823003252 WI Practitioner - Clinical Social Worker 2769845759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24178 1St Ave
Suite 2
Siren, WI 54872-8220
Phone (715) 566-1739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132006121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families First Counseling Center, LLC CurrentSince Aug 23, 2020 Accepting new patients
Natural Connections Counseling LLC Social Worker CurrentSince Apr 5, 2025 Accepting new patients

Locations

24178 1st Ave
#2
Siren, WI 54872
Phone (715) 566-1739

24178 1st Ave
Ste 2
Siren, WI 54872
Phone (715) 349-8913

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, 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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1114538162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548720218",
            "telephone_number": "715-566-1739",
            "fax_number": "715-273-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24178 1ST AVE STE 2",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548728220",
            "telephone_number": "715-349-8913",
            "fax_number": "715-349-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO GONDWE",
        "first_name": "ANNE",
        "middle_name": "J",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "132006121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siren, WI

Sources for this page

Verify at the official NPI Registry.