Individual provider Active NPI

Joyce Anne McConnell, LCSW

  • Clinical Social Worker
  • Mauston, WI
National Provider Identifier
1659385839
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7665-123 Issued in WI
Practice address
200 S Hickory St
Mauston, WI 53948-1320
Phone
(608) 847-2400
Fax
(608) 847-9599
NPI assigned
Jul 27, 2006
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20196 MN
Clinical Social Worker 1041C0700X 7665-123 WI Primary

Addresses

Primary practice location

200 S Hickory St
Mauston, WI 53948-1320

Mailing address

200 S Hickory St
Mauston, WI 53948-1320
Phone (608) 847-2400

Other practice location 1

4027 County Road 25
St Louis Park, MN 55416
Phone (612) 925-6033

Other identifiers 1

IdentifierTypeStateIssuer
1659385839MedicaidWI

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
I20190102002026 WI Practitioner - Clinical Social Worker 1052583598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juneau CountyGroup PAC ID 5395759047, 5 clinicians

Practice addresses (Care Compare)

200 Hickory St
Mauston, WI 53948
Phone (608) 847-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20196MNMDClinical Social Worker
7665-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Juneau County CurrentSince Mar 9, 2021 Accepting new patients
Juneau County CurrentSince Mar 9, 2021 Accepting new patients

Locations

200 S Hickory St
Mauston, WI 53948
Phone (608) 847-2400

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1659385839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HICKORY ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481320",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HICKORY ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481320",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4027 County Road 25",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "55416",
            "country_code": "US",
            "telephone_number": "612-925-6033",
            "fax_number": "612-925-8496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JOYCE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20196",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7665-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659385839",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.