Active NPI
Lynn S Groeschel, MSW
- Clinical Social Worker
- Portage, WI
National Provider Identifier
1225060957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 827-123
- Practice address
- 2901 Hunters TRL
Portage, WI 53901-3403 - Phone
- (608) 742-5518
- Fax
- (608) 742-4087
- NPI assigned
- Jul 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 827-123 | WI | Primary |
Addresses
Primary practice location
2901 Hunters TRL
Portage, WI 53901-3403
Mailing address
PO Box 301
Portage, WI 53901-0301
Phone (608) 742-5518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39662700 | Medicaid | WI |
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 |
|---|---|---|---|---|
| I20040422001558 | WI | Practitioner - Clinical Social Worker | 1850387085 | Practice locations: Wisconsin Dells, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1000 Hwy 13
Suite 15
Wisconsin Dells, WI 53965-9021
Phone (608) 432-6263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225060957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539010301",
"telephone_number": "608-742-5518",
"fax_number": "608-742-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 HUNTERS TRL",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539013403",
"telephone_number": "608-742-5518",
"fax_number": "608-742-4087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROESCHEL",
"first_name": "LYNN",
"middle_name": "S",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "827-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39662700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.