Individual provider Active NPI

Saersi Seanez, LCSW

  • Clinical Social Worker
  • Grafton, WI
National Provider Identifier
1134716418
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9574-123 Issued in WI
Practice address
361 Falls Rd # 688
Grafton, WI 53024-2617
Phone
(608) 668-4035
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9574-123 WI Primary

Addresses

Primary practice location

361 Falls Rd # 688
Grafton, WI 53024-2617

Mailing address

361 Falls Rd # 688
Grafton, WI 53024-2617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 3, 2024 through Mar 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9574-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Opal Waters Therapy LLC Clinical Current Accepting new patients

Locations

411 Falls Rd
Ste 100
Grafton, WI 53024
Phone (608) 668-4035

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1134716418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 FALLS RD # 688",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 FALLS RD # 688",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242617",
            "telephone_number": "608-668-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEANEZ",
        "first_name": "SAERSI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9574-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

Verify at the official NPI Registry.