Individual provider Active NPI

Amber Dawn Myska, LCSW

  • Clinical Social Worker
  • Wausau, WI
National Provider Identifier
1215324850
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7288 Issued in WI
Practice address
310 Timber Trail Dr
Wausau, WI 54403-9394
Phone
(715) 551-7077
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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 7288 WI Primary

Addresses

Primary practice location

310 Timber Trail Dr
Wausau, WI 54403-9394

Mailing address

310 Timber Trail Dr
Wausau, WI 54403-9394
Phone (715) 551-7077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7288WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire New Beginnings LLC Past Accepting new patients
Compass Counseling Wausau, LLC PastSince Nov 11, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1215324850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TIMBER TRAIL DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544039394",
            "telephone_number": "715-551-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TIMBER TRAIL DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544039394",
            "telephone_number": "715-551-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYSKA",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.