Catholic Charities of the Diocese of la Crosse, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.

Practice address

1408 Ellis St
Stevens Point, WI 54481-2913

Phone

(715) 344-2500

Fax

(715) 344-5329

NPI assigned

Jan 14, 2009

Organization subpart

Yes

Parent organization

CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Richard Sage, MA

Title

Executive Director

Phone

(608) 782-0710

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

Catholic Charities3 organizations share this tax ID, including this one

Part of

Catholic Charities

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Catholic Charities of the Diocese of la Crosse, Inc.

  • Clinical Social Worker
  • Eau Claire, WI
  • NPI 1508003435
  NPD tax ID
• Catholic Charities of the Diocese of la Crosse, Inc.

  • Clinical Social Worker
  • Wausau, WI
  • NPI 1558508499
  NPD tax ID

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1316184252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530821127",
            "telephone_number": "920-457-6750",
            "fax_number": "920-457-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 ELLIS ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812913",
            "telephone_number": "715-344-2500",
            "fax_number": "715-344-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-782-0710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558393009",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Lynn Byes, PTA
• Vicky Lyn Calawerts, RPH
• Kyle Luis Canales, DC
• Kiersten Carley, MA, LPC
• Ronda Leah Cates, ADN
• Caroline Caton, LCSW
• Michael W Cavanaugh, P.A.-C
• Center for Dentistry and Orthodontics
• Central Orthodontic Specialists, S.C.
• Central Wisconsin Radiologists SC

• Clinical Social Worker in Stevens Point, WI
• Providers in Stevens Point, 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 Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.