Individual provider Active NPI

Kristina Janine Joswiak

  • Social Worker
  • Hudson, WI
National Provider Identifier
1376305961
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
134718121 Issued in WI
Practice address
2010 Oneil Rd Ste E
Hudson, WI 54016-7084
Phone
(715) 246-4840
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 134718121 WI Primary

Addresses

Primary practice location

2010 Oneil Rd Ste E
Hudson, WI 54016-7084

Mailing address

6523 Prairie Park Dr
Eau Claire, WI 54701-5222
Phone (414) 651-3029

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

LicenseStateTypeSpecialty
134718121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Associates, LLC CurrentSince Feb 12, 2025 Accepting new patients

Locations

2010 Oneil Rd
Ste E
Hudson, WI 54016

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1376305961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 PRAIRIE PARK DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547015222",
            "telephone_number": "414-651-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ONEIL RD STE E",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167084",
            "telephone_number": "715-246-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSWIAK",
        "first_name": "KRISTINA",
        "middle_name": "JANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134718121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.