Individual provider Active NPI

Melissa Jo Walkowski, LCSW, SAC-IT

  • Clinical Social Worker
  • Eau Claire, WI
National Provider Identifier
1386139384
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8698-123 Issued in WI
Practice address
550 N Dewey St
Eau Claire, WI 54703-3218
Phone
(715) 834-6681
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8698-123 WI Primary

Addresses

Primary practice location

550 N Dewey St
Eau Claire, WI 54703-3218

Mailing address

25986 E. Mondovi St.
P.O. Box 231
Eleva, WI 54738
Phone (715) 523-1283

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
I20211029001723 WI Practitioner - Clinical Social Worker 7315335023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Eau ClaireGroup PAC ID 7113350398, 7 clinicians

Practice addresses (Care Compare)

721 Oxford Ave
Eau Claire, WI 54703-5212
Phone (715) 839-7602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8698-123WIMDClinical Social Worker
8698WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Eau Claire CurrentSince Sep 1, 2021 Accepting new patients

Locations

721 Oxford Ave
Eau Claire, WI 54703
Phone (715) 839-2300

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1386139384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25986 E. MONDOVI ST.",
            "address_2": "P.O. BOX 231",
            "city": "ELEVA",
            "state": "WI",
            "postal_code": "54738",
            "telephone_number": "715-523-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N DEWEY ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033218",
            "telephone_number": "715-834-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKOWSKI",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "credential": "LCSW, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8698-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.