Individual provider Active NPI

Barbara K Lecaire

  • Clinical Social Worker
  • Green Bay, WI
National Provider Identifier
1508833435
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3124-123 Issued in WI
Practice address
529 S Jefferson St
Suite 105
Green Bay, WI 54301-4125
Phone
(920) 884-6700
Fax
(920) 227-2273
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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 3124-123 WI Primary

Addresses

Primary practice location

529 S Jefferson St
Suite 105
Green Bay, WI 54301-4125

Mailing address

529 S Jefferson St
Suite 105
Green Bay, WI 54301-4125
Phone (920) 884-6700

Other identifiers 1

IdentifierTypeStateIssuer
39607100MedicaidWI

Other names 1

  • Barbara K Delforge Professional 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3124-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of Northeast Wisconsin Inc Past Accepting new patients
Family Services of Northeast Wisconsin Inc Past Accepting new patients

Organizations & group practices 2

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1508833435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S JEFFERSON ST",
            "address_2": "SUITE 105",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014125",
            "telephone_number": "920-884-6700",
            "fax_number": "920-227-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S JEFFERSON ST",
            "address_2": "SUITE 105",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014125",
            "telephone_number": "920-884-6700",
            "fax_number": "920-227-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECAIRE",
        "first_name": "BARBARA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3124-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39607100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "DELFORGE",
            "middle_name": "K",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.