Individual provider Active NPI

Julianna Marie Tavale, MSW LCSW

  • Clinical Social Worker
  • Menomonie, WI
National Provider Identifier
1336824457
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3001 US Highway 12 E Ste 160
Menomonie, WI 54751-3045
Phone
(715) 232-1116
Fax
(715) 232-5987
NPI assigned
Jun 16, 2023
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 WI Primary

Addresses

Primary practice location

3001 US Highway 12 E Ste 160
Menomonie, WI 54751-3045

Mailing address

3001 US Highway 12 E Ste 160
Menomonie, WI 54751-3045
Phone (715) 232-1116

Other practice location 1

1120 Oak Ridge Dr
Eau Claire, WI 54701-6133
Phone (715) 246-4840

Other identifiers 2

IdentifierTypeStateIssuer
15953438OtherCAQH
100244329MedicaidWI

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
I20260224001758 WI Practitioner - Clinical Social Worker 4486135845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Therapy Associates LLCGroup PAC ID 5395273536, 28 clinicians

Practice addresses (Care Compare)

150 W 1St St
Suite 270
New Richmond, WI 54017-1770
Phone 7152464840131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Associates, LLC CurrentSince Jan 7, 2026 Accepting new patients
Oral and Maxillofacial Surgery Asso of Eau Claire SC CurrentSince Jun 18, 2023 Accepting new patients

Locations

1120 Oak Ridge Dr
Eau Claire, WI 54701
Phone (715) 834-8414

2010 Oneil Rd
Ste E
Hudson, WI 54016

150 W 1st St
Ste 270
New Richmond, WI 54017
Phone 7152464840130

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, 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": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336824457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E STE 160",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513045",
            "telephone_number": "715-232-1116",
            "fax_number": "715-232-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E STE 160",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513045",
            "telephone_number": "715-232-1116",
            "fax_number": "715-232-5987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Oak Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016133",
            "country_code": "US",
            "telephone_number": "715-246-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVALE",
        "first_name": "JULIANNA",
        "middle_name": "MARIE",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15953438",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244329",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

Verify at the official NPI Registry.