Individual provider Active NPI

Sherri Rae Wuollet, LADC, LSW

  • Addiction (Substance Use Disorder) Counselor
  • Cloquet, MN
National Provider Identifier
1184479560
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
306694 Issued in MN
Practice address
1001 Avenue B
Cloquet, MN 55720-1631
Phone
(218) 310-8896
NPI assigned
Apr 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 32773 MN
Addiction (Substance Use Disorder) Counselor 101YA0400X 306694 MN Primary

Addresses

Primary practice location

1001 Avenue B
Cloquet, MN 55720-1631

Mailing address

1001 Avenue B
Cloquet, MN 55720-1631
Phone (218) 310-8896

Other names 1

  • Sherri Wakefield Former name

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
306694MNMDAddiction (Substance Use Disorder) Counselor
32773MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Webmed Mental Health Addiction (Substance Use Disorder) CurrentSince Apr 21, 2024 Accepting new patients

Locations

1001 Avenue B
Cloquet, MN 55720
Phone (218) 310-8896

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": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1184479560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENUE B",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201631",
            "telephone_number": "218-310-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENUE B",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201631",
            "telephone_number": "218-310-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUOLLET",
        "first_name": "SHERRI",
        "middle_name": "RAE",
        "credential": "LADC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "32773",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "WAKEFIELD",
            "credential": "ADC-T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.