Active NPI
Cynthia F Daane, MSW
- Clinical Social Worker
- Sheboygan, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 211-124
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215051644 | Medicaid | WI |
Other names 1
- Cynthia F Pritzl
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12584 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 211-124 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Clinic LLC | Current | Accepting new patients | |
| Nett Work Family Counseling LLC | Current | 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.
-
- Adult Mental Health Clinic/Center
- Sheboygan, WI
- NPI 1154675924
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.