Catholic Charities of the Diocese of la Crosse, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.

Practice address

448 N Dewey St
Eau Claire, WI 54703-3241

Phone

(715) 832-6644

Fax

(715) 832-6686

NPI assigned

Jan 14, 2009

Organization subpart

Yes

Parent organization

CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Richard Sage, MA

Title

Executive Director

Phone

(608) 782-0710

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

Catholic Charities3 organizations share this tax ID, including this one

Part of

Catholic Charities

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Catholic Charities of the Diocese of la Crosse, Inc.

  • Clinical Social Worker
  • Stevens Point, WI
  • NPI 1316184252
  NPD tax ID
• Catholic Charities of the Diocese of la Crosse, Inc.

  • Clinical Social Worker
  • Wausau, WI
  • NPI 1558508499
  NPD tax ID

Locations

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1508003435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530821127",
            "telephone_number": "920-457-6750",
            "fax_number": "920-457-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 N DEWEY ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033241",
            "telephone_number": "715-832-6644",
            "fax_number": "715-832-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF THE DIOCESE OF LA CROSSE, INC.",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-782-0710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558393009",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Castellanos, MS, LPC SAC-IT
• Rosmeld Jesus Castillo, MD
• Sara Castle, M.S., CCC-SLP
• Casey Jerome Castona, CA., MSOM.
• Cat Confidential Authentic Therapy LLC
• James R Catlin, LCSW
• James Mitchell Caulder, DC
• Alex Cavender, M.D.
• William E Cayley Jr., MD MDIV
• Marianne R Celli Komro, OD

• Clinical Social Worker in Eau Claire, WI
• Providers in Eau Claire, 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 Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.