Active NPI
Angela Tourdot, MSSW
- Social Worker
- Reedsburg, WI
National Provider Identifier
1447588702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6502-11
- Practice address
- 425 6TH St
Reedsburg, WI 53959-1202 - Phone
- (608) 524-7987
- NPI assigned
- Nov 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 6502-11 | WI | Primary |
Addresses
Primary practice location
425 6TH St
Reedsburg, WI 53959-1202
Mailing address
33924 Robin Hollow Rd
Cazenovia, WI 53924-8101
Phone (608) 986-2150
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6502-11 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1447588702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33924 ROBIN HOLLOW RD",
"city": "CAZENOVIA",
"state": "WI",
"postal_code": "539248101",
"telephone_number": "608-986-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 6TH ST",
"city": "REEDSBURG",
"state": "WI",
"postal_code": "539591202",
"telephone_number": "608-524-7987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOURDOT",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "MSSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-25",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "6502-11",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reedsburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.