Caitlin A Dufour, LCSW, SAC-IT
Individual provider Active NPI Clinical Social Worker · Hurley, WI
NPI 1194273987 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1194273987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9470 (WI)
- Practice address
- 115 5TH Ave N
Hurley, WI 54534-1208 - Phone
- (715) 329-1288
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Lakes Community Health Center Inc
Practice addresses (Care Compare)
7665 US Hwy 2
Iron River, WI 54847-4690
Phone (715) 372-5001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231018003186 | WI | Practitioner - Clinical Social Worker | 1456766724 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801100786 | MI | MD | Social Worker |
| 9470 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lakes Community Health Center, Inc | Current |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Current |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Current |
Accepting new patients |
Locations
300 Main St W
Ashland, WI 54806
Phone (715) 685-2200
15735 W US Highway 63
Hayward, WI 54843
115 5th Ave N
Hurley, WI 54534
Phone (715) 329-1288
7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | 6801100786 | MI | |
| Clinical Social Worker | 1041C0700X | 9470 | WI | Yes |
Addresses
Primary practice location
115 5TH Ave N
Hurley, WI 54534-1208
Mailing address
15735 W US Highway 63
Hayward, WI 54843-6475
Phone (715) 934-0710
Other practice location 1
300 Main St W
Ashland, WI 54806-1639
Phone (715) 685-2200
Other providers in Hurley, WI
- Center Life Health LLC
- County of Iron
- County of Iron
- County of Iron
- Carol Ann Decker
- Greenbranch Dental L.L.C
- Paul G Hagemann
- Michele L Harma
- Anne M Harris
- Gaylene Heaton
All providers in Hurley, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.