Rural Employee and Student Assistance Professionals, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

625-123 Issued in WI

Legal business name

RURAL EMPLOYEE AND STUDENT ASSISTANCE PROFESSIONALS, INC.

Practice address

40 Jewelers Park Drive
Suite 100
Neenah, WI 54956

Phone

(715) 281-1541

Fax

(920) 720-9980

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Ann Knutzen, M.S.S.W.

Title

Clinical Social Worker

Phone

(715) 281-1541

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RESAP, INC Doing business as

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1174857312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 JEWELERS PARK DR",
            "address_2": "SUITE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563702",
            "telephone_number": "715-281-1541",
            "fax_number": "920-720-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 JEWELERS PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "54956",
            "telephone_number": "715-281-1541",
            "fax_number": "920-720-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL EMPLOYEE AND STUDENT ASSISTANCE PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "KNUTZEN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "715-281-1541",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "625-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39256200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205960077",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESAP, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa L Rudolph, MD
• Cory Thomas Rued, O.D.
• Thomas Rued, O.D.
• Kenneth Warren Rueden, PA-C
• Katie A Ruppenthal
• Holly A Rusch, AUD
• Emily L Russ, PA
• Emily Rae Ruthven
• Amanda Rutten
• Sarah Ruzek

• Clinical Social Worker in Neenah, WI
• Providers in Neenah, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.