Individual provider Active NPI

Danielle A Dieringer, MSSW, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1235867474
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12593 Issued in WI
Practice address
2702 International LN Ste 102
Madison, WI 53704-3117
Phone
(608) 405-5712
Fax
(608) 405-5716
NPI assigned
Aug 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 126559 WI
Clinical Social Worker 1041C0700X 12593 WI Primary

Addresses

Primary practice location

2702 International LN Ste 102
Madison, WI 53704-3117

Mailing address

PO Box 301
Portage, WI 53901-0301
Phone (608) 742-5518

Other identifiers 1

IdentifierTypeStateIssuer
100211376MedicaidWI

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
I20251201001758 WI Practitioner - Clinical Social Worker 2163915034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Service Associates, SCGroup PAC ID 8426948746, 34 clinicians

Practice addresses (Care Compare)

2702 International LN
Madison, WI 53704-3117
Phone (608) 742-5518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126559WIMDSocial Worker
12593WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Service Associates, SC CurrentSince Sep 25, 2025 Accepting new patients

Locations

1341 Park Ave
Columbus, WI 53925
Phone (920) 623-2431

2702 International Ln
Ste 102
Madison, WI 53704
Phone (608) 280-2636

2702 International Ln
Madison, WI 53704
Phone (608) 405-5712

2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518

Organizations & group practices 1

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": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1235867474",
    "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": "2702 INTERNATIONAL LN STE 102",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043117",
            "telephone_number": "608-405-5712",
            "fax_number": "608-405-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERINGER",
        "first_name": "DANIELLE",
        "middle_name": "A",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "126559",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100211376",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.