Individual provider Active NPI

William R. McAuliffe-Schroeder, LCSW, SAC

  • Clinical Social Worker
  • Monona, WI
National Provider Identifier
1275723504
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3629-123 Issued in WI
Practice address
1250 Femrite Dr
Suite 205
Monona, WI 53716-3787
Phone
(608) 223-3342
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12640-131 WI
Clinical Social Worker 1041C0700X 3629-123 WI Primary

Addresses

Primary practice location

1250 Femrite Dr
Suite 205
Monona, WI 53716-3787

Mailing address

1250 Femrite Dr
Suite 205
Monona, WI 53716-3787
Phone (608) 223-3342

Other identifiers 3

IdentifierTypeStateIssuer
39571400MedicaidWI
12640-131OtherWISUBSTANCE ABUSE COUNSELOR
3629-123OtherWILCSW CREDENTIAL #

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
I20110707000327 WI Practitioner - Clinical Social Worker 4082892443 Reassigns benefits to 1 organization
Practice locations: Madison, 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
Group practices
Tellurian, Inc.Group PAC ID 6204925365, 7 clinicians

Practice addresses (Care Compare)

300 Femrite Dr
Monona, WI 53716-3716
Phone 6082227311213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12640-131WIMDAddiction (Substance Use Disorder) Counselor
3629-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tellurian, Inc. CurrentSince Jan 22, 2013 Accepting new patients
Tellurian, Inc. CurrentSince Jan 22, 2013 Accepting new patients

Locations

5900 Monona Dr
Ste 300
Monona, WI 53716
Phone (608) 222-7311

300 Femrite Dr
Monona, WI 53716
Phone (608) 222-7311

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1275723504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FEMRITE DR",
            "address_2": "SUITE 205",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163787",
            "telephone_number": "608-223-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FEMRITE DR",
            "address_2": "SUITE 205",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163787",
            "telephone_number": "608-223-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULIFFE-SCHROEDER",
        "first_name": "WILLIAM",
        "middle_name": "R.",
        "credential": "LCSW, SAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12640-131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3629-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39571400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE COUNSELOR",
            "identifier": "12640-131",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW CREDENTIAL #",
            "identifier": "3629-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

Verify at the official NPI Registry.