Active NPI
Heather Marie Statz, MSW
- Social Worker
- Baraboo, WI
National Provider Identifier
1457985657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 505 Broadway
Sauk County Dept. of Human Services
Baraboo, WI 53913 - Phone
- (608) 355-4213
- Fax
- (608) 355-4299
- NPI assigned
- Feb 26, 2020
- 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 | Primary |
Addresses
Primary practice location
505 Broadway
Sauk County Dept. of Human Services
Baraboo, WI 53913
Mailing address
505 Broadway PO Box 29
Sauk County Dept. of Human Services
Baraboo, WI 53913
Phone (608) 355-4213
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk County Department of Human Services | Current | Accepting new patients | |
| County of Sauk | Past | Accepting new patients |
Locations
505 Broadway St
Baraboo, WI 53913
Phone (608) 355-4200
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.
-
- Speech-Language Pathologist
- Baraboo, WI
- NPI 1710522792
-
- Community/Behavioral Health Agency
- Baraboo, WI
- NPI 1508915323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1457985657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 BROADWAY PO BOX 29",
"address_2": "SAUK COUNTY DEPT. OF HUMAN SERVICES",
"city": "BARABOO",
"state": "WI",
"postal_code": "53913",
"telephone_number": "608-355-4213",
"fax_number": "608-355-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 BROADWAY",
"address_2": "SAUK COUNTY DEPT. OF HUMAN SERVICES",
"city": "BARABOO",
"state": "WI",
"postal_code": "53913",
"telephone_number": "608-355-4213",
"fax_number": "608-355-4299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATZ",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.