Individual provider Active NPI

Lauren Rick

  • Social Worker
  • Beloit, WI
National Provider Identifier
1376149427
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
131441 Issued in WI
Practice address
74 Eclipse Ctr
Beloit, WI 53511-3550
Phone
(608) 361-0311
NPI assigned
Dec 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 131441 WI Primary

Addresses

Primary practice location

74 Eclipse Ctr
Beloit, WI 53511-3550

Mailing address

74 Eclipse Ctr
Beloit, WI 53511-3550
Phone (608) 361-0311

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
I20240814000670 WI Practitioner - Clinical Social Worker 3274071857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Resources Associates IncGroup PAC ID 5991773699, 7 clinicians

Practice addresses (Care Compare)

1315 W Main St
Watertown, WI 53094-3564
Phone 92026141002170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131441WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Resources Associates Inc CurrentSince Nov 4, 2024 Accepting new patients
Vitae Health Medical Wisconsin LLC CurrentSince Jul 30, 2024 Accepting new patients
Family Resources Associates Inc Past Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

2121 Pioneer Dr
Beloit, WI 53511
Phone (608) 365-9526

3100 Washington Rd
Kenosha, WI 53144
Phone (262) 658-4039

1315 W Main St
Watertown, WI 53094
Phone (920) 261-4100

5301 W Lincoln Ave
West Allis, WI 53219
Phone (414) 615-7200

Organizations & group practices 3

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": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1376149427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "608-361-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "608-361-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICK",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.