Individual provider Active NPI

Sheila Marie Johnson, LCSW

  • Clinical Social Worker
  • Marshfield, WI
National Provider Identifier
1184817835
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11516 Issued in WI
Practice address
1905 S Central Ave
Marshfield, WI 54449-4917
Phone
(715) 898-1665
Fax
(715) 898-1240
NPI assigned
Aug 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 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 11516 WI Primary

Addresses

Primary practice location

1905 S Central Ave
Marshfield, WI 54449-4917

Mailing address

W10050 310TH Ave
Holcombe, WI 54745-4513
Phone (715) 595-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11516WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gateways Counseling Services, Inc CurrentSince Feb 25, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 22, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 22, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 22, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 22, 2024 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 22, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 22, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 22, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 22, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 22, 2024 Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1905 S Central Ave
Marshfield, WI 54449
Phone (715) 898-1665

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1184817835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W10050 310TH AVE",
            "city": "HOLCOMBE",
            "state": "WI",
            "postal_code": "547454513",
            "telephone_number": "715-595-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S CENTRAL AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494917",
            "telephone_number": "715-898-1665",
            "fax_number": "715-898-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.