Individual provider Active NPI

Catherine Becerra, MSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1326845231
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
135016-121 Issued in WI
Practice address
5315 Wall St Ste 200
Madison, WI 53718-7937
Phone
(209) 298-0979
NPI assigned
Feb 27, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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 135016-121 WI Primary

Addresses

Primary practice location

5315 Wall St Ste 200
Madison, WI 53718-7937

Mailing address

34 Cumberland LN
Madison, WI 53714-2322
Phone (209) 298-0979

Other practice location 1

34 Cumberland Ln
Madison, WI 53714-2322
Phone (209) 298-0979

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
I20250624002254 WI Practitioner - Clinical Social Worker 9830601061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135016-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Center, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

1360 Regent St
Madison, WI 53715
Phone (608) 889-7173

5315 Wall St
Ste 200
Madison, WI 53718
Phone (608) 889-7173

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": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1326845231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CUMBERLAND LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537142322",
            "telephone_number": "209-298-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 WALL ST STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537187937",
            "telephone_number": "209-298-0979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Cumberland Ln",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537142322",
            "country_code": "US",
            "telephone_number": "209-298-0979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "CATHERINE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "135016-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.