Individual provider Active NPI

Elizabeth Hanson Will, LCSW

  • Clinical Social Worker
  • Mount Pleasant, WI
National Provider Identifier
1457328643
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7096-123 Issued in WI
Practice address
5605 Washington Ave Ste 7D
Mount Pleasant, WI 53406-4056
Phone
(262) 260-9383
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7096-123 WI Primary

Addresses

Primary practice location

5605 Washington Ave Ste 7D
Mount Pleasant, WI 53406-4056

Mailing address

5605 Washington Ave Ste 7D
Mount Pleasant, WI 53406-4056
Phone (262) 260-9383

Other identifiers 1

IdentifierTypeStateIssuer
46987600MedicaidWI

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
I20170207003048 WI Practitioner - Clinical Social Worker 9739478744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Wisconsin School of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5605 Washington Ave
Suite 7D
Mount Pleasant, WI 53406-4056
Phone (262) 260-9383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7096-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liz Hanson Will, LLC Clinical CurrentSince Mar 23, 2021 Accepting new patients
Young Mens Christian Association CurrentSince Oct 31, 2021 Accepting new patients

Locations

5605 Washington Ave
Ste 7D
Mount Pleasant, WI 53406
Phone (262) 260-9383

420 7th St
Racine, WI 53403
Phone (262) 634-2391

Organizations & group practices 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1457328643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 WASHINGTON AVE STE 7D",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064056",
            "telephone_number": "262-260-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 WASHINGTON AVE STE 7D",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064056",
            "telephone_number": "262-260-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILL",
        "first_name": "ELIZABETH",
        "middle_name": "HANSON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7096-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46987600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.