Active NPI
Dawn Woodard, MSSW
- Clinical Social Worker
- Montello, WI
National Provider Identifier
1629203161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4053-123
- Practice address
- 480 Underwood Ave
Montello, WI 53949-9248 - Phone
- (608) 297-3118
- Fax
- (608) 297-8718
- NPI assigned
- May 28, 2009
- Last updated
- May 1, 2026
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4053-123 | WI | Primary |
Addresses
Primary practice location
480 Underwood Ave
Montello, WI 53949-9248
Mailing address
617 Pauquette Pines LN
Poynette, WI 53955-8721
Phone (608) 516-8422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39653000 | Medicaid | WI |
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 |
|---|---|---|---|
| 4053-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1629203161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 PAUQUETTE PINES LN",
"city": "POYNETTE",
"state": "WI",
"postal_code": "539558721",
"telephone_number": "608-516-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 UNDERWOOD AVE",
"city": "MONTELLO",
"state": "WI",
"postal_code": "539499248",
"telephone_number": "608-297-3118",
"fax_number": "608-297-8718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "DAWN",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "4053-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39653000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montello, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.