Individual provider Active NPI

Lisa Ann Daujotas, MSW,LCSW

  • Clinical Social Worker
  • Burlington, WI
National Provider Identifier
1275754921
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7577-123 Issued in WI
Practice address
700 N Pine St Unit 1
Burlington, WI 53105-1472
Phone
(262) 483-2045
NPI assigned
May 1, 2007
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7577-123 WI Primary

Addresses

Primary practice location

700 N Pine St Unit 1
Burlington, WI 53105-1472

Mailing address

324 Hickory Dr
Burlington, WI 53105-1317
Phone (262) 483-2045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 1, 2024 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7577-123WIMDClinical Social Worker
7577WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trusting Your Journey Counseling CurrentSince Feb 26, 2023 Accepting new patients

Locations

700 N Pine St
#1
Burlington, WI 53105
Phone (262) 483-2045

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1275754921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 HICKORY DR",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051317",
            "telephone_number": "262-483-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N PINE ST UNIT 1",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051472",
            "telephone_number": "262-483-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUJOTAS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7577-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

Verify at the official NPI Registry.