Individual provider Active NPI

Sandra J Reinardy, MSW

  • Clinical Social Worker
  • Baraboo, WI
National Provider Identifier
1619608726
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12177-123 Issued in WI
Practice address
1002 Lincoln Ave
Baraboo, WI 53913-1808
Phone
(608) 356-9055
Fax
(608) 268-9780
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 132757 WI
Clinical Social Worker 1041C0700X 12177-123 WI Primary

Addresses

Primary practice location

1002 Lincoln Ave
Baraboo, WI 53913-1808

Mailing address

PO Box 301
Portage, WI 53901-0301
Phone (608) 742-5518

Other practice location 1

50 Prairie Ave
Prairie Du Sac, WI 53578-1541
Phone (608) 643-3147

Other identifiers 1

IdentifierTypeStateIssuer
100204190MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250328001284 WI Practitioner - Clinical Social Worker 1052834272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Wisconsin School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Service Associates, SCGroup PAC ID 8426948746, 34 clinicians

Practice addresses (Care Compare)

1002 Lincoln Ave
Baraboo, WI 53913-1808
Phone (608) 356-9055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132757WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Service Associates, SC CurrentSince Feb 18, 2025 Accepting new patients

Locations

1002 Lincoln Ave
Baraboo, WI 53913
Phone (608) 356-9055

2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1619608726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539010301",
            "telephone_number": "608-742-5518",
            "fax_number": "608-742-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LINCOLN AVE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131808",
            "telephone_number": "608-356-9055",
            "fax_number": "608-268-9780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Prairie Du Sac",
            "state": "WI",
            "postal_code": "535781541",
            "country_code": "US",
            "telephone_number": "608-643-3147",
            "fax_number": "608-268-9780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINARDY",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "132757",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12177-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100204190",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

Verify at the official NPI Registry.