Active NPI
Ruth Wagner
- Social Worker
- Tomah, WI
National Provider Identifier
1568215135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128980
- Practice address
- 500 E Veterans St
Tomah, WI 54660-3105 - Phone
- (608) 372-3971
- NPI assigned
- Apr 11, 2024
- 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 | 128980 | WI | Primary |
Addresses
Primary practice location
500 E Veterans St
Tomah, WI 54660-3105
Mailing address
111989 Hatimar LN
Marshfield, WI 54449-4299
Phone (715) 498-9770
Other names 1
- Ruth Dreckman
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
| License | State | Type | Specialty |
|---|---|---|---|
| 128980 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1568215135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111989 HATIMAR LN",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544494299",
"telephone_number": "715-498-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E VETERANS ST",
"city": "TOMAH",
"state": "WI",
"postal_code": "546603105",
"telephone_number": "608-372-3971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "RUTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-11",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "128980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "DRECKMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tomah, WI
- Sheena Voge, PT, DPT
- Margaret D Von Briesen, PH.D.
- Krista Von Haden
- Allyson Marie Vonhaden, FNP-C
- Kimberly Ann Wagner, RN
- Andrew Jacob Wagoner, RRT-NPS
- Morgan Garth Wakefield
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0965)
- Wal-Mart Stores East, LP (Vision Center 30-0965)
- Natalie Louise Waldenberger, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.