Active NPI
Duanne Lafrenz, MSW, LCSW
- Clinical Social Worker
- Lake Geneva, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12-123
- Practice address
- 101 Broad St
Suite 201
Lake Geneva, WI 53147-2000 - Phone
- (262) 248-7942
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12-123 | WI | Primary |
Addresses
Primary practice location
101 Broad St
Suite 201
Lake Geneva, WI 53147-2000
Mailing address
101 Broad St
Suite 201
Lake Geneva, WI 53147-2000
Phone (262) 248-7942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39509900 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 Veterans Pkwy
Lake Geneva, WI 53147-4950
Phone (262) 248-7942
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Geneva Wellness Clinic LLC | Current | Accepting new patients |
Locations
750 Veterans Pkwy
Unit 100
Lake Geneva, WI 53147
Phone (262) 248-7942
101 Broad St
Ste 201
Lake Geneva, WI 53147
Phone (262) 248-7942
1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Lake Geneva, WI
- NPI 1003845181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1124057294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BROAD ST",
"address_2": "SUITE 201",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472000",
"telephone_number": "262-248-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BROAD ST",
"address_2": "SUITE 201",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472000",
"telephone_number": "262-248-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFRENZ",
"first_name": "DUANNE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "12-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39509900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Geneva, WI
- Elena Caraman Krause, MD
- Geetha Priydarshini Krishnan, MD
- Kaitlyn Elise Kurth, DPT
- Amanda Kutis, LAT
- Ladd F. Koresch O.D., S.C.
- Lake Geneva Chiropractic Partners
- Lake Geneva Dental Care LLC
- Lake Geneva Oral and Maxillofacial Surgery, LTD
- Lake Geneva Wellness Clinic LLC
- Lake Geneva-Genoa City Union High School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.