Active NPI
Stephanie April Pederson, APSW
- Social Worker
- Weston, WI
National Provider Identifier
1508762790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 136186-121
- Practice address
- 5703 Memorial CT
Weston, WI 54476-6502 - Phone
- (715) 204-9808
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 136186-121 | WI | Primary |
Addresses
Primary practice location
5703 Memorial CT
Weston, WI 54476-6502
Mailing address
W4683 Meadow Rd
Bonduel, WI 54107-8734
Phone (715) 401-9906
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRG Clinical, SC | Past | Accepting new patients |
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, 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": "1792022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792022400000",
"number": "1508762790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W4683 MEADOW RD",
"city": "BONDUEL",
"state": "WI",
"postal_code": "541078734",
"telephone_number": "715-401-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5703 MEMORIAL CT",
"city": "WESTON",
"state": "WI",
"postal_code": "544766502",
"telephone_number": "715-204-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSON",
"first_name": "STEPHANIE",
"middle_name": "APRIL",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "136186-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.