Individual provider Active NPI

Judy Ann Foster, LPC, LCSW

  • Clinical Social Worker
  • St. Croix Falls, WI
National Provider Identifier
1174704381
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1194-125 Issued in WI
Practice address
809 US Highway 8 East
St. Croix Falls, WI 54024
Phone
(715) 483-3544
Fax
(715) 483-3741
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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 1194-125 WI Primary

Addresses

Primary practice location

809 US Highway 8 East
St. Croix Falls, WI 54024

Mailing address

809 US Highway 8 East
St. Croix Falls, WI 54024
Phone (715) 483-3544

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
1194-125WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1174704381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 US HIGHWAY 8 EAST",
            "city": "ST. CROIX FALLS",
            "state": "WI",
            "postal_code": "54024",
            "telephone_number": "715-483-3544",
            "fax_number": "715-483-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 US HIGHWAY 8 EAST",
            "city": "ST. CROIX FALLS",
            "state": "WI",
            "postal_code": "54024",
            "telephone_number": "715-483-3544",
            "fax_number": "715-483-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JUDY",
        "middle_name": "ANN",
        "credential": "LPC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1194-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Croix Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.