Joann M Nitka, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6534-123 Issued in WI

Practice address

3049 Ramada Way Ste 200
Green Bay, WI 54304-5576

Phone

(920) 482-2932

Fax

(800) 892-6147

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

University of Wisconsin School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abundant Life Counseling and Renewal Center LLCGroup PAC ID 6305154105, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abundant Life Counseling & Renewal Center LLC

  • Community/Behavioral Health Agency
  • Green Bay, WI
  • NPI 1801283494
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1487724647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 RAMADA WAY STE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045576",
            "telephone_number": "920-482-2932",
            "fax_number": "800-892-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 RAMADA WAY STE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045576",
            "telephone_number": "920-482-2932",
            "fax_number": "800-892-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITKA",
        "first_name": "JOANN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6534-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gergana Naskova Nikolova, DMD
• Pam Niles, NP
• Florence Annette Ninham, CSAC
• Simone A Ninham, MSW, APSW
• Dawn Margaret Nissen, APNP
• Leah A Nitke, DO
• Njcare, Inc.
• Fomengia Nkeangu, MD
• Gary C. Noble, D.D.S.
• Jason William Nobles, DC

• Clinical Social Worker in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.