Individual provider Active NPI

Joanna Sue Wachsmuth, LICSW

  • Clinical Social Worker
  • Milaca, MN
National Provider Identifier
1609754035
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31829 Issued in MN
Practice address
150 10TH St NW Ste 2
Milaca, MN 56353-1737
Phone
(763) 389-7230
NPI assigned
Aug 25, 2025
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 31829 MN Primary

Addresses

Primary practice location

150 10TH St NW Ste 2
Milaca, MN 56353-1737

Mailing address

31086 98TH St NW
Princeton, MN 55371-4582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917001747 MN Practitioner - Clinical Social Worker 1951805530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 10TH St NW
Suite 2
Milaca, MN 56353-1737

2575 Harvest LN
Owatonna, MN 55060-4305

31086 98TH St NW
Princeton, MN 55371-4582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31829MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fernbrook Family Center, Inc CurrentSince Jan 28, 2026 Accepting new patients
Lighthouse Child & Family Services CurrentSince Jul 7, 2025 Accepting new patients
Awakened Connections Therapy Clinical PastSince Jul 7, 2025 Accepting new patients

Locations

340 Garfield St S
Cambridge, MN 55008
Phone (320) 982-0035

150 10th St NW
#2
Milaca, MN 56353
Phone (320) 983-2335

2575 Harvest Ln
Owatonna, MN 55060
Phone 5074460431115

Organizations & group practices 3

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": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1609754035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31086 98TH ST NW",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553714582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 10TH ST NW STE 2",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531737",
            "telephone_number": "763-389-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSMUTH",
        "first_name": "JOANNA",
        "middle_name": "SUE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "31829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milaca, MN

Sources for this page

Verify at the official NPI Registry.