Individual provider Active NPI

Christine A Dean, LCSW

  • Clinical Social Worker
  • Hillsboro, WI
National Provider Identifier
1487037826
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129781 Issued in WI
Practice address
400 Water Ave
Hillsboro, WI 54634-9054
Phone
(608) 489-8102
NPI assigned
Jul 2, 2015
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8757-123 WI
Clinical Social Worker 1041C0700X 129781 WI Primary

Addresses

Primary practice location

400 Water Ave
Hillsboro, WI 54634-9054

Mailing address

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8102

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
I20170815000923 WI Practitioner - Clinical Social Worker 9335411180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Health Services IncGroup PAC ID 3971586439, shared by 5 NPIs, 71 clinicians

Practice addresses (Care Compare)

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129781WIMDClinical Social Worker
8757-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Health Services, Inc. CurrentSince Jul 13, 2017 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Dec 1, 2017 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Jul 13, 2017 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Dec 1, 2017 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Jan 26, 2026 Accepting new patients

Locations

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

1705 Omaha St
Elroy, WI 53929
Phone (608) 462-8270

Organizations & group practices 5

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1487037826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546349054",
            "telephone_number": "608-489-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546349054",
            "telephone_number": "608-489-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8757-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "129781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, WI

Sources for this page

Verify at the official NPI Registry.