Active NPI
Rebecca Setterman, LCSW
- Clinical Social Worker
- Shawano, WI
National Provider Identifier
1447437645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7071-123
- Practice address
- 504 Lakeland Rd
Shawano, WI 54166-3836 - Phone
- (715) 526-4700
- Fax
- (715) 526-5542
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7071-123 | WI | Primary |
Addresses
Primary practice location
504 Lakeland Rd
Shawano, WI 54166-3836
Mailing address
504 Lakeland Rd
Shawano, WI 54166-3836
Phone (715) 526-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40936900 | 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 |
|---|---|---|---|
| 7071-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- rebeccasetterman@tdh.allscriptsdirect.net
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1447437645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 LAKELAND RD",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541663836",
"telephone_number": "715-526-4700",
"fax_number": "715-526-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 LAKELAND RD",
"city": "SHAWANO",
"state": "WI",
"postal_code": "541663836",
"telephone_number": "715-526-4700",
"fax_number": "715-526-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETTERMAN",
"first_name": "REBECCA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7071-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40936900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawano, WI
- Cora Schultz
- Hillary Schultz, DNP, APNP, FNP-BC
- Christopher Secor
- Kristina L Seglah, CADC-II, CSAC, CSI-T
- Allison Marie Senzig, DNP, APNP, FNP-BC
- Shawano Ambulance Service, Inc.
- Shawano Clinic, Inc
- Shawano County Department of Community Program
- Shawano County Department of Human Services
- Shawano County Dept. of Social Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.