Individual provider Active NPI

Jeanne C Szatkowski, LCSW, ADCL

  • Clinical Social Worker
  • La Crosse, WI
National Provider Identifier
1376695742
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4151-123 Issued in WI
Practice address
115 5TH Ave S
Suite 301
La Crosse, WI 54601-9200
Phone
(608) 785-0827
Fax
(507) 452-5183
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 300436 MN
Clinical Social Worker 1041C0700X 4151-123 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13911 WI

Addresses

Primary practice location

115 5TH Ave S
Suite 301
La Crosse, WI 54601-9200

Mailing address

111 Market St
Suite 4a
Winona, MN 55987-5532
Phone (507) 452-5033

Other identifiers 3

IdentifierTypeStateIssuer
088442100MedicaidMN
40987500MedicaidWI
HP66994OtherMNHEALTHPARTNERS

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
I20240425000800 WI Practitioner - Clinical Social Worker 0143660027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Wisconsin School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling AssociatesGroup PAC ID 3678622784, 16 clinicians

Practice addresses (Care Compare)

115 5TH Ave S
Suite 301
La Crosse, WI 54601-4098
Phone (608) 785-0827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300436MNMDAddiction (Substance Use Disorder) Counselor
4151-123WIMDClinical Social Worker
13911WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates CurrentSince Mar 12, 2024 Accepting new patients
Counseling Associates PastSince Apr 9, 2024 Accepting new patients

Locations

111 Market St
Ste 4A
Winona, MN 55987
Phone (507) 452-5033

115 5th Ave S
Ste 301
La Crosse, WI 54601
Phone (608) 785-0827

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1376695742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARKET ST",
            "address_2": "SUITE 4A",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875532",
            "telephone_number": "507-452-5033",
            "fax_number": "507-452-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S",
            "address_2": "SUITE 301",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546019200",
            "telephone_number": "608-785-0827",
            "fax_number": "507-452-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZATKOWSKI",
        "first_name": "JEANNE",
        "middle_name": "C",
        "credential": "LCSW, ADCL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "4151-123",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "13911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088442100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40987500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP66994",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.