Individual provider Active NPI

Jane Woods, MSSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1508089319
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1938-123 Issued in WI
Practice address
310 N Midvale Blvd
Suite 202
Madison, WI 53705-3265
Phone
(608) 280-6490
Fax
(608) 238-1929
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 1938-123 WI Primary

Addresses

Primary practice location

310 N Midvale Blvd
Suite 202
Madison, WI 53705-3265

Mailing address

310 N Midvale Blvd
Suite 202
Madison, WI 53705-3265
Phone (608) 852-8577

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
I20110412000536 WI Practitioner - Clinical Social Worker 9537343769 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1938-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Clinic Inc. CurrentSince Sep 1, 2013 Accepting new patients
Healthyminds, LLC Clinical CurrentSince Sep 1, 2020 Accepting new patients
Christianson Pfau Chiropractic LLC Past Accepting new patients

Locations

2909 Landmark Pl
Ste 210
Madison, WI 53713
Phone (608) 295-1498

702 N Blackhawk Ave
Ste 212
Madison, WI 53705
Phone (608) 238-9991

310 N Midvale Blvd
Ste 202
Madison, WI 53705
Phone (608) 238-9991

Organizations & group practices 3

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1508089319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N MIDVALE BLVD",
            "address_2": "SUITE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053265",
            "telephone_number": "608-852-8577",
            "fax_number": "608-238-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N MIDVALE BLVD",
            "address_2": "SUITE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053265",
            "telephone_number": "608-280-6490",
            "fax_number": "608-238-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1938-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.