Individual provider Active NPI

Cynthia F Daane, MSW

  • Clinical Social Worker
  • Sheboygan, WI
National Provider Identifier
1215051644
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
211-124 Issued in WI
Practice address
2801 Calumet Dr
Sheboygan, WI 53083-3839
Phone
(920) 451-6908
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12584 WI
Mental Health Counselor 101YM0800X 216-123 WI
Clinical Social Worker 1041C0700X 211-124 WI Primary

Addresses

Primary practice location

2801 Calumet Dr
Sheboygan, WI 53083-3839

Mailing address

1012 Falls Parc Dr Apt 9
Sheboygan Falls, WI 53085-3417
Phone (920) 627-3856

Other practice location 1

1011 N 8th St
Sheboygan, WI 53081-4006
Phone (920) 459-4339

Other practice location 2

805 N 6th St
Sheboygan, WI 53081-4113
Phone (920) 457-8866

Other identifiers 1

IdentifierTypeStateIssuer
1215051644MedicaidWI

Other names 1

  • Cynthia F Pritzl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000064 WI Practitioner - Clinical Social Worker 4981877875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nett Work Family Counseling LLCGroup PAC ID 5597849604, 6 clinicians

Practice addresses (Care Compare)

2801 Calumet Dr
Sheboygan, WI 53083-3839
Phone (920) 451-6908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12584WIMDAddiction (Substance Use Disorder) Counselor
211-124WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Clinic LLC CurrentSince Mar 1, 2021 Accepting new patients
Nett Work Family Counseling LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

2801 Calumet Dr
Sheboygan, WI 53083
Phone (920) 451-6908

805 N 6th St
Sheboygan, WI 53081
Phone (920) 457-8866

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1215051644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 FALLS PARC DR APT 9",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530853417",
            "telephone_number": "920-627-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CALUMET DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530833839",
            "telephone_number": "920-451-6908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530814006",
            "country_code": "US",
            "telephone_number": "920-459-4339",
            "fax_number": "920-459-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530814113",
            "country_code": "US",
            "telephone_number": "920-457-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAANE",
        "first_name": "CYNTHIA",
        "middle_name": "F",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12584",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "216-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "211-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215051644",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "PRITZL",
            "middle_name": "F",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.