Individual provider Active NPI

Michelle Leigh Riemer, LCSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1346598505
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8191-123 Issued in WI
Practice address
406 N Pinckney St
Madison, WI 53703-1410
Phone
(608) 255-8838
Fax
(608) 255-8837
NPI assigned
Aug 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 8191-123 WI Primary

Addresses

Primary practice location

406 N Pinckney St
Madison, WI 53703-1410

Mailing address

5744 Barbara Dr
Fitchburg, WI 53711-5202
Phone (608) 630-5440

Other practice location 1

5744 Barbara Dr
Fitchburg, WI 53711-5202
Phone (608) 630-5440

Other identifiers 1

IdentifierTypeStateIssuer
100026640MedicaidWI

Other names 1

  • Michelle Leigh Willman Former name

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
I20170221002582 WI Practitioner - Clinical Social Worker 3072897925 Practice locations: Madison, WI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

406 N Pickney St
Madison, WI 53703-1410
Phone (608) 630-5440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8191-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonia Madison Center for Psychotherapy Clinical CurrentSince Apr 17, 2022 Accepting new patients
Atlas Counseling LLC PastSince Apr 17, 2022 Accepting new patients

Locations

406 N Pinckney St
Madison, WI 53703
Phone (608) 255-8838

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1346598505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 BARBARA DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115202",
            "telephone_number": "608-630-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N PINCKNEY ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537031410",
            "telephone_number": "608-255-8838",
            "fax_number": "608-255-8837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5744 Barbara Dr",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "WI",
            "postal_code": "537115202",
            "country_code": "US",
            "telephone_number": "608-630-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEMER",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8191-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100026640",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WILLMAN",
            "middle_name": "LEIGH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.