Individual provider Active NPI

Megan Beth Griebenow, MSW, APSW

  • Clinical Social Worker
  • Chippewa Falls, WI
National Provider Identifier
1508546276
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
134368 Issued in WI
Practice address
1791 County Highway Oo
Chippewa Falls, WI 54729-5347
Phone
(715) 797-2770
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 134368-121 WI
Clinical Social Worker 1041C0700X 134368 WI Primary

Addresses

Primary practice location

1791 County Highway Oo
Chippewa Falls, WI 54729-5347

Mailing address

1791 County Highway Oo
Chippewa Falls, WI 54729-5347
Phone (715) 797-2770

Other names 1

  • Megan Beth Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
134368-121WIMDSocial Worker
134368WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Healing Mental Health Center LLC Clinical CurrentSince Jul 23, 2023 Accepting new patients

Locations

1791 County Highway OO
Chippewa Falls, WI 54729
Phone (715) 797-2770

Organizations & group practices 1

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1508546276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 COUNTY HIGHWAY OO",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295347",
            "telephone_number": "715-797-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 COUNTY HIGHWAY OO",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295347",
            "telephone_number": "715-797-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEBENOW",
        "first_name": "MEGAN",
        "middle_name": "BETH",
        "credential": "MSW, APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134368-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "134368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WILSON",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.