Individual provider Active NPI

Ana Karina Cuellar-Montes, APSW

  • Social Worker
  • Dodgeville, WI
National Provider Identifier
1265015473
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
132287-121 Issued in WI
Practice address
101 E Fountain St
Dodgeville, WI 53533-1749
Phone
(608) 835-5050
Fax
(608) 835-5010
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 132287-121 WI Primary

Addresses

Primary practice location

101 E Fountain St
Dodgeville, WI 53533-1749

Mailing address

165 W Netherwood St Ste a
Oregon, WI 53575-1107
Phone (608) 835-5050

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 W Netherwood St
Oregon Mental Health Services LLC
Oregon, WI 53575-1107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132287-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Mental Health Services,LLC CurrentSince May 9, 2021 Accepting new patients

Locations

1102 N Bequette St
Dodgeville, WI 53533
Phone (608) 930-8181

165 W Netherwood St
Ste A
Oregon, WI 53575
Phone (608) 835-5050

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1265015473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST STE A",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-835-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FOUNTAIN ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331749",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR-MONTES",
        "first_name": "ANA",
        "middle_name": "KARINA",
        "credential": "APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "132287-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

Verify at the official NPI Registry.