Individual provider Active NPI

Ebony M Hyter, MSW, APSW

  • Clinical Social Worker
  • Richland Center, WI
National Provider Identifier
1154192847
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
133082 Issued in WI
Practice address
23295 US Hwy 14
Richland Center, WI 53581-8911
Phone
(608) 647-4705
Fax
(608) 268-9780
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 133082 WI Primary

Addresses

Primary practice location

23295 US Hwy 14
Richland Center, WI 53581-8911

Mailing address

1002 Lincoln Ave
Baraboo, WI 53913-1808
Phone (608) 356-9055

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
133082WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Service Associates, SC Past Accepting new patients

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1154192847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LINCOLN AVE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131808",
            "telephone_number": "608-356-9055",
            "fax_number": "608-268-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23295 US HWY 14",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535818911",
            "telephone_number": "608-647-4705",
            "fax_number": "608-268-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYTER",
        "first_name": "EBONY",
        "middle_name": "M",
        "credential": "MSW, APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "133082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.