Active NPI
Michelle Leigh Riemer, LCSW
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1346598505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8191-123
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100026640 | Medicaid | WI |
Other names 1
- Michelle Leigh Willman
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8191-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonia Madison Center for Psychotherapy | Clinical | Current | Accepting new patients |
| Atlas Counseling LLC | Past | 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.
-
- Clinical Social Worker
- Madison, WI
- NPI 1114140563
-
- Marriage & Family Therapist
- Madison, WI
- NPI 1851631394
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.