Active NPI
Guy S Connor, LCSW
- Clinical Social Worker
- Waupaca, WI
National Provider Identifier
1346474715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1127123
- Practice address
- 811 Harding St
Waupaca, WI 54981-2012 - Phone
- (715) 258-6300
- NPI assigned
- May 13, 2009
- Last updated
- May 13, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1467132 | WI | |
| Professional Counselor | 101YP2500X | 334125 | WI | |
| Clinical Social Worker | 1041C0700X | 1127123 | WI | Primary |
Addresses
Primary practice location
811 Harding St
Waupaca, WI 54981-2012
Mailing address
811 Harding St
Waupaca, WI 54981-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1467132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 334125 | WI | MD | Professional Counselor |
| 1127123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1346474715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 HARDING ST",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549812012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 HARDING ST",
"city": "WAUPACA",
"state": "WI",
"postal_code": "549812012",
"telephone_number": "715-258-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "GUY",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "1467132",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "334125",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "1127123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waupaca, WI
- Constance M. Clausen, PTA
- Chad Alan Cloutier, DC
- Community Eyecare Center SC
- Comprehensive Health Law Services, LLC
- Charles Conger, MD
- Alicia L Cook, SAC
- County of Waupaca (Waupaca County Dept of Human Services)
- County of Waupaca (Waupaca County Dept of Human Services)
- Stephanie Jean Crane, LCSW
- Crossroads Care Center of Crystal River LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.