Paul W Gasser, MS MFT LCSW CADC III

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1519 Issued in WI

Practice address

400 Water Ave
Hillsboro, WI 54634-9054

Phone

(608) 489-8000

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1629019104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546349054",
            "telephone_number": "608-489-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546349054",
            "telephone_number": "608-489-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSER",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "MS MFT LCSW CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1519",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39263200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha R. Erie, PA-C
• Colette Jean Fitzpatrick, CRNA
• Cory M Frederick, OTR CLT
• Beth M Gagliardo, PA-C
• Michelle Gardner, APNP
• Kaitlyn Marie Gorn, LMT
• Gundersen Clinic, LTD.
• Gundersen Clinic, LTD.
• Shawna Marie Hefel, R.N.
• Anna Louise Heier, RN

• Clinical Social Worker in Hillsboro, WI
• Providers in Hillsboro, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.