Active NPI
Jayne M Stefanic, ISW
- Social Worker
- Oconto Falls, WI
National Provider Identifier
1376528588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 835 S Main St
Oconto Falls, WI 54154-1241 - Phone
- (920) 846-3092
- NPI assigned
- Dec 9, 2005
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
835 S Main St
Oconto Falls, WI 54154-1241
Mailing address
835 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 846-3092
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 877 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1376528588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 S MAIN ST",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541241",
"telephone_number": "920-846-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S MAIN ST",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541241",
"telephone_number": "920-846-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANIC",
"first_name": "JAYNE",
"middle_name": "M",
"credential": "ISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oconto Falls, WI
- St. Clare Memorial Hospital, Inc
- St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis
- Kylie Michelle Starry, PHARMD
- Timothy Patrick Starry, R.PH.
- Stay at Homecare LLC
- Desirae Jo Steier, PT, DPT
- Michael J Stiennon
- Oscar Arthur Stiennon III, M.D.
- Antonio C. Talens, M.D.
- The Center for Comprehensive Chiropractic Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.