Nicolle Madison Muskevitsch, MSW, SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

797859 Issued in WI

Practice address

121 S Wisconsin St
Elkhorn, WI 53121-1740

Phone

(920) 419-6480

NPI assigned

Feb 13, 2024

Last updated

Feb 13, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1457115172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482970",
            "telephone_number": "920-419-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WISCONSIN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211740",
            "telephone_number": "920-419-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSKEVITSCH",
        "first_name": "NICOLLE",
        "middle_name": "MADISON",
        "name_prefix": "Ms.",
        "credential": "MSW, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "797859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynsea Monien, NP
• Caley Monson, DPT
• Luisa Domenica Montemurro, PT, DPT
• Todd Philip Mortensen, D.C.
• Stephanie Musha
• Kaylinn Anne Musto, FNP-BC
• Ramesh Muthukumar, M.D
• Kamal S Muzaffar, MD
• Narayan Naik, DDS
• Alexander Jordan Neils, PA-C

• Addiction (Substance Use Disorder) Counselor in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.