Individual provider Active NPI

Stephanie Marie Coons, DSW

  • Clinical Social Worker
  • Crandon, WI
National Provider Identifier
1467733576
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7818-123 Issued in WI
Practice address
3144 Vanzile Rd
Crandon, WI 54520-8149
Phone
(715) 478-5180
NPI assigned
Sep 1, 2011
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 7818-123 WI Primary

Addresses

Primary practice location

3144 Vanzile Rd
Crandon, WI 54520-8149

Mailing address

5718 Rural Edge Dr
Roscoe, IL 61073-7989
Phone (815) 391-3349

Other practice location 1

390 Red Cedar St Ste 108
Menomonie, WI 54751-2265
Phone (815) 391-3349

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
I20121022000728 WI Practitioner - Clinical Social Worker 0042460313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokaogon Chippewa CommunityGroup PAC ID 1759370869, 13 clinicians

Practice addresses (Care Compare)

3144 Vanzile Rd
Crandon, WI 54520-8149
Phone (715) 478-5180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7818-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sokaogon Chippewa Community CurrentSince Sep 27, 2021 Accepting new patients
Edges Wellness Center LLC Clinical CurrentSince Dec 17, 2025 Accepting new patients

Locations

730 E 38th St
Ste 101
Minneapolis, MN 55407
Phone (612) 217-0584

3144 Vanzile Rd
Crandon, WI 54520
Phone (715) 478-5180

390 Red Cedar St
Ste 108
Menomonie, WI 54751
Phone (612) 217-0584

390 Red Cedar St
Ste 109
Menomonie, WI 54751
Phone (612) 293-6277

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73753
  • Direct secure messaging: stephanie.coons@schc.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1467733576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 RURAL EDGE DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737989",
            "telephone_number": "815-391-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 VANZILE RD",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545208149",
            "telephone_number": "715-478-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Red Cedar St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547512265",
            "country_code": "US",
            "telephone_number": "815-391-3349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COONS",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7818-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crandon, WI

Sources for this page

Verify at the official NPI Registry.