Janna Nordeman, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9702-123 Issued in WI

Practice address

1221 Bellevue St Ste 113
Green Bay, WI 54302-2155

Phone

(920) 482-2932

Fax

(800) 892-6147

NPI assigned

Sep 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Abundant Life Counseling and Renewal Center LLCGroup PAC ID 6305154105, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abundant Life Counseling & Renewal Center LLC

  • Community/Behavioral Health Agency
  • Green Bay, WI
  • NPI 1801283494
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1245846195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BELLEVUE ST STE 113",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543022155",
            "telephone_number": "920-482-2932",
            "fax_number": "800-892-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BELLEVUE ST STE 113",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543022155",
            "telephone_number": "920-482-2932",
            "fax_number": "800-892-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDEMAN",
        "first_name": "JANNA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9702-123",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "128072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.abundantlifecounselingcenter.com",
            "affiliation": "N",
            "address_1": "1221 Bellevue St Ste 113",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543022155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joaquim Anthony Noguer, MD
• Gail Marie Nohr, SACT
• John Noldin, CRNA APNP
• Brittany A Nor, APNP
• Charles Nordell, MD
• Norhteasr Wisconsin Personal Care
• Northeast Wisconsin Behavioral Health SC
• Northeast Wisconsin Technical College
• Northwest Counseling & Guidance Clinic
• Northwoods Family Physical Medicine of Wisconsin, S.C.

• Clinical Social Worker in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.