Cheri L Wotnoske, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13939 Issued in WI

Practice address

627 Main St
Darlington, WI 53530-1395

Phone

(608) 776-4800

Fax

(608) 776-4914

NPI assigned

Mar 7, 2006

Last updated

Oct 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Phoenix Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1205691755

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1669449922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 MAIN ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301395",
            "telephone_number": "608-776-4800",
            "fax_number": "608-776-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 MAIN ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301395",
            "telephone_number": "608-776-4800",
            "fax_number": "608-776-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOTNOSKE",
        "first_name": "CHERI",
        "middle_name": "L",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "13939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39169000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Willborn, CSW-BS
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• Melissa Wirtz, SW
• Wisconsin Dental Partners, LLC (The Country Dentist)
• Ashley L Withrow, BS
• Venkata Yearva, M.D.
• Molly Anne Zuehlke, B.S. R.N.

• Addiction (Substance Use Disorder) Counselor in Darlington, WI
• Providers in Darlington, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.