Active NPI
Michael Woyach, LCSW
- Social Worker
- Menomonee Falls, WI
National Provider Identifier
1396702288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3027
- Practice address
- N91W17271 Appleton Ave
Suite 1
Menomonee Falls, WI 53051-2045 - Phone
- (262) 502-3300
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- 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 | 3027 | WI | Primary |
Addresses
Primary practice location
N91W17271 Appleton Ave
Suite 1
Menomonee Falls, WI 53051-2045
Mailing address
N91W17271 Appleton Ave
Suite 1
Menomonee Falls, WI 53051-2045
Phone (262) 502-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39797100 | Medicaid | WI |
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 |
|---|---|---|---|
| 3027 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1396702288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N91W17271 APPLETON AVE",
"address_2": "SUITE 1",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512045",
"telephone_number": "262-502-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N91W17271 APPLETON AVE",
"address_2": "SUITE 1",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512045",
"telephone_number": "262-502-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOYACH",
"first_name": "MICHAEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "3027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39797100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.