Individual provider Active NPI

Laura E Pisciotti

  • Social Worker
  • Janesville, WI
National Provider Identifier
1215643986
Registry record updated Apr 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
134114 Issued in WI
Practice address
1905 Center Ave Ste 170
Janesville, WI 53546-2805
Phone
(608) 352-9701
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 134114 WI Primary

Addresses

Primary practice location

1905 Center Ave Ste 170
Janesville, WI 53546-2805

Mailing address

6233 39TH Ave
Kenosha, WI 53142-7015
Phone (262) 652-1004

Other practice location 1

2797 Prairie Ave
Beloit, WI 53511-2288
Phone (608) 299-7669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134114WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health on Prairie Social Worker CurrentSince Sep 29, 2024 Accepting new patients
Enlightened Ways Therapy, LLC Social Worker PastSince Jan 31, 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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682812800000",
    "number": "1215643986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 39TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427015",
            "telephone_number": "262-652-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CENTER AVE STE 170",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462805",
            "telephone_number": "608-352-9701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2797 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Beloit",
            "state": "WI",
            "postal_code": "535112288",
            "country_code": "US",
            "telephone_number": "608-299-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISCIOTTI",
        "first_name": "LAURA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.