Individual provider Active NPI

Maria C Filut, LCSW, APSW, SAC-IT

  • Clinical Social Worker
  • Port Washington, WI
National Provider Identifier
1396105227
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9651-123 Issued in WI
Practice address
121 W Main St
Port Washington, WI 53074-1813
Phone
(262) 284-8200
Fax
(262) 238-8103
NPI assigned
Mar 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 9651-123 WI Primary

Addresses

Primary practice location

121 W Main St
Port Washington, WI 53074-1813

Mailing address

121 W Main St
Port Washington, WI 53074-1813
Phone (262) 284-8200

Other names 1

  • Maria C Selig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ozaukee CurrentSince Feb 17, 2022 Accepting new patients
County of Ozaukee CurrentSince Feb 17, 2022 Accepting new patients

Locations

121 W Main St
Prt Washingtn, WI 53074
Phone (262) 284-8200

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1396105227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741813",
            "telephone_number": "262-284-8200",
            "fax_number": "262-238-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741813",
            "telephone_number": "262-284-8200",
            "fax_number": "262-238-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILUT",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "LCSW, APSW, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9651-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SELIG",
            "middle_name": "C",
            "credential": "APSW, SAC-IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Washington, WI

Sources for this page

Verify at the official NPI Registry.