Individual provider Active NPI

Paulette M Wijas Yerges

  • Clinical Social Worker
  • Blanchardville, WI
National Provider Identifier
1366461535
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1932-123 Issued in WI
Practice address
304 S Main Street
P O Box 145
Blanchardville, WI 53516-9002
Phone
(608) 341-8600
Fax
(608) 341-8600
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12737 WI
Clinical Social Worker 1041C0700X 1932-123 WI Primary

Addresses

Primary practice location

304 S Main Street
P O Box 145
Blanchardville, WI 53516-9002

Mailing address

PO Box 145
Blanchardville, WI 53516-0145
Phone (608) 636-4328

Other identifiers 1

IdentifierTypeStateIssuer
39630100MedicaidWI

Other names 1

  • Paulette M Wijas-Yerges Professional 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
I20060420000136 WI Practitioner - Clinical Social Worker 9133138043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

304 S Main St
Blanchardville, WI 53516-9002
Phone (608) 636-4328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12737WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Tree Mental Health LLC Clinical CurrentSince Oct 1, 2021 Accepting new patients
Community Care Resources Inc Past Accepting new patients
Community Counseling Center of Madison, Wi, Inc. Past Accepting new patients
Platteville Family Resource Center Past Accepting new patients

Organizations & group practices 4

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1366461535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "BLANCHARDVILLE",
            "state": "WI",
            "postal_code": "535160145",
            "telephone_number": "608-636-4328",
            "fax_number": "608-523-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MAIN STREET",
            "address_2": "P O BOX 145",
            "city": "BLANCHARDVILLE",
            "state": "WI",
            "postal_code": "535169002",
            "telephone_number": "608-341-8600",
            "fax_number": "608-341-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJAS YERGES",
        "first_name": "PAULETTE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12737",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1932-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39630100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULETTE",
            "last_name": "WIJAS-YERGES",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Blanchardville, WI

Sources for this page

Verify at the official NPI Registry.