Individual provider Active NPI

Cecelia Ann Greenwood, LCSW

  • Clinical Social Worker
  • Platteville, WI
National Provider Identifier
1689262628
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9977123 Issued in WI
Practice address
1250 E Business Highway 151
Platteville, WI 53818-3875
Phone
(608) 470-2200
NPI assigned
Jan 5, 2021
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9977123 WI Primary

Addresses

Primary practice location

1250 E Business Highway 151
Platteville, WI 53818-3875

Mailing address

5150 Sunny Ridge Rd
Mineral Point, WI 53565-8855
Phone (608) 778-6833

Other practice location 1

122 High St
Mineral Point, WI 53565-1287
Phone (608) 708-5279

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
I20221014002172 WI Practitioner - Clinical Social Worker 2264808310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Renewed Brain Health LLCGroup PAC ID 0446790281, 2 clinicians

Practice addresses (Care Compare)

122 High St
Mineral Point, WI 53565-1287
Phone (608) 708-5279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9977123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Brain Health LLC Clinical CurrentSince Aug 13, 2024 Accepting new patients

Organizations & group practices 2

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1689262628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SUNNY RIDGE RD",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535658855",
            "telephone_number": "608-778-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E BUSINESS HIGHWAY 151",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183875",
            "telephone_number": "608-470-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 High St",
            "address_purpose": "LOCATION",
            "city": "Mineral Point",
            "state": "WI",
            "postal_code": "535651287",
            "country_code": "US",
            "telephone_number": "608-708-5279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "CECELIA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9977123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.