Active NPI
Joanne L Faltz Bailey, LCSW
- Clinical Social Worker
- Rice Lake, WI
National Provider Identifier
1194888909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1202
- Practice address
- 331 S Main St
Rice Lake, WI 54868-2253 - Phone
- (715) 236-8500
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1202-123 | WI | |
| Clinical Social Worker | 1041C0700X | 1202 | WI | Primary |
Addresses
Primary practice location
331 S Main St
Rice Lake, WI 54868-2253
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1202-123 | WI | MD | Mental Health Counselor |
| 1202 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Hills Counseling LLC | Mental Health | Past | Accepting new patients |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Rice Lake, WI
- NPI 1265406227
-
dba Mayo Clinic Health System-Barron
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1194888909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 S MAIN ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548682253",
"telephone_number": "715-236-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALTZ BAILEY",
"first_name": "JOANNE",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "1202-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rice Lake, WI
- Natasha Eshbaugh, MD
- Susan Espeseth
- Kyle P. Everson, D.D.S.
- Brad Harold Ewald, O.D.
- Madyson Falstad, RBT
- Family Health Center of Marshfield Inc (Family Health Center - Rice Lake Dental Center)
- Courtney Fedie, OTR
- Gerald R. Fenske, D.D.S.
- First American Enterprises Inc (Rice Lake Convalescent Center)
- First American Enterprises, Inc (Heritage Manor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.