Active NPI
Simon Rabas
- Clinical Social Worker
- Sturgeon Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 911 Green Bay Rd Ste 103
Sturgeon Bay, WI 54235-3814 - Phone
- (920) 743-5566
- NPI assigned
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
911 Green Bay Rd Ste 103
Sturgeon Bay, WI 54235-3814
Mailing address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 746-0510
Other practice location 1
323 S 18th Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 746-0510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLIED | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Door County Memorial Hospital | Current | Accepting new patients | |
| Door County Memorial Hospital | Current | Accepting new patients | |
| Counseling Associates of Door County, LLC | Past | Accepting new patients |
Locations
911 Green Bay Rd
Ste 103
Sturgeon Bay, WI 54235
Phone (920) 743-5566
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Sturgeon Bay, WI
- NPI 1093743874
-
- Rural Health Clinic/Center
- Sturgeon Bay, WI
- NPI 1326748104
-
- Counselor
- Sturgeon Bay, WI
- NPI 1124093547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1306360201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 S 18TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351401",
"telephone_number": "920-746-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 GREEN BAY RD STE 103",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542353814",
"telephone_number": "920-743-5566"
}
],
"practiceLocations": [
{
"address_1": "323 S 18th Ave",
"address_purpose": "LOCATION",
"city": "Sturgeon Bay",
"state": "WI",
"postal_code": "542351401",
"country_code": "US",
"telephone_number": "920-746-0510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RABAS",
"first_name": "SIMON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "APPLIED",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.