Sandra Lynn Muetzel, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6876-123 Issued in WI

Practice address

W247S10395 Center Dr
Mukwonago, WI 53149-9166

Phone

(262) 662-5900

Fax

(262) 662-5688

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Behavioral Clinics SCGroup PAC ID 7517937964, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• American Behavioral Clinics, SC

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1144313859
  Medicare reassignment Care Compare group NPD
• Norris Adolescent Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Mukwonago, WI
  • NPI 1235304056
  NPD (past)
• Norris Adolescent Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Mukwonago, WI
  • NPI 1841466083
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407078835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 CHELSEA DR",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211198",
            "telephone_number": "262-743-1760",
            "fax_number": "262-662-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W247S10395 CENTER DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499166",
            "telephone_number": "262-662-5900",
            "fax_number": "262-662-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUETZEL",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6876-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43580300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Minton, PHARMD
• Edward Mischo, MSW, LCSW
• Moodology Psych Hub, LLC
• Melanie Anne Morgan, LPC
• Jacey J Mroczenski, DPT
• Mukwonago Chiropractic Centre, S.C.
• Mukwonago Ramily Rehabilitation Clinic, LLC
• Mukwonago School District
• Nicole Marie Munson, OTR
• Olivia Camille Neau

• Clinical Social Worker in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.