Individual provider Active NPI

Craig J Rasmussen, M.A., LCSW

  • Clinical Social Worker
  • Wisconsin Rapids, WI
National Provider Identifier
1467560623
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2283-123 Issued in WI
Practice address
3930 8TH St S
Suite 101
Wisconsin Rapids, WI 54494-6511
Phone
(715) 423-2030
Fax
(715) 423-2032
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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 2283-123 WI Primary

Addresses

Primary practice location

3930 8TH St S
Suite 101
Wisconsin Rapids, WI 54494-6511

Mailing address

3930 8TH St S
Suite 101
Wisconsin Rapids, WI 54494-6511
Phone (715) 423-2030

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
I20181109000241 WI Practitioner - Clinical Social Worker 5597709824 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2283-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Sep 17, 2018 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Sep 17, 2018 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1467560623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 8TH ST S",
            "address_2": "SUITE 101",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946511",
            "telephone_number": "715-423-2030",
            "fax_number": "715-423-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 8TH ST S",
            "address_2": "SUITE 101",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946511",
            "telephone_number": "715-423-2030",
            "fax_number": "715-423-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "CRAIG",
        "middle_name": "J",
        "credential": "M.A., LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2283-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.