Active NPI
Miranda Jo Wayne, APSW
- Social Worker
- Hudson, WI
National Provider Identifier
1538075072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 136281-121
- Practice address
- 900 Crest View Dr Ste 120
Hudson, WI 54016-9517 - Phone
- (715) 716-4371
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 136281-121 | WI | Primary |
Addresses
Primary practice location
900 Crest View Dr Ste 120
Hudson, WI 54016-9517
Mailing address
664 Tradition TRL
River Falls, WI 54022-8302
Phone (715) 556-5523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1538075072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 TRADITION TRL",
"city": "RIVER FALLS",
"state": "WI",
"postal_code": "540228302",
"telephone_number": "715-556-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CREST VIEW DR STE 120",
"city": "HUDSON",
"state": "WI",
"postal_code": "540169517",
"telephone_number": "715-716-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYNE",
"first_name": "MIRANDA",
"middle_name": "JO",
"credential": "APSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "136281-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.