Individual provider Active NPI

Demaris Losinski, APSW

  • Social Worker
  • Wisconsin Rapids, WI
National Provider Identifier
1437554441
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
129326-121 Issued in WI
Practice address
2611 12TH St S
Wisconsin Rapids, WI 54494-6445
Phone
(715) 421-8800
NPI assigned
Nov 3, 2014
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 129326-121 WI Primary

Addresses

Primary practice location

2611 12TH St S
Wisconsin Rapids, WI 54494-6445

Mailing address

2611 12TH St S
Wisconsin Rapids, WI 54494-6445
Phone (715) 421-8800

Other names 1

  • Demaris Dymak Former name

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
I20160608001172 WI Practitioner - Clinical Social Worker 1153611801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Clinic LLCGroup PAC ID 0042645046, 11 clinicians

Practice addresses (Care Compare)

2831 Post Rd
Suite 300
Plover, WI 54467-3415
Phone (715) 600-2798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129326-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Clinic LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

2831 Post Rd
Ste 300
Plover, WI 54467
Phone (715) 600-2798

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1437554441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 12TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946445",
            "telephone_number": "715-421-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 12TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946445",
            "telephone_number": "715-421-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSINSKI",
        "first_name": "DEMARIS",
        "credential": "APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129326-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMARIS",
            "last_name": "DYMAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.