NPIMap

Organization Active NPI

Shawano County Dept. of Social Services

  • Case Management Agency
  • Shawano, WI
National Provider Identifier
1689849101
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SHAWANO COUNTY DEPT. OF SOCIAL SERVICES
Practice address
607 E Elizabeth St
Shawano, WI 54166-3105
Phone
(715) 526-4700
Fax
(715) 526-4759
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SHAWANO COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mr. Richard J Kane
Title
Director
Phone
(715) 526-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

607 E Elizabeth St
Shawano, WI 54166-3105

Mailing address

607 E Elizabeth St
Shawano, WI 54166-3105
Phone (715) 526-4700

Other identifiers 1

IdentifierTypeStateIssuer
43082300MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Shawano County Department of Community Program11 organizations share this tax ID, including this one
Part of
Shawano County Department of Community Program

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

607 E Elizabeth St
Shawano, WI 54166
Phone (715) 526-4700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1689849101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E ELIZABETH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663105",
            "telephone_number": "715-526-4700",
            "fax_number": "715-526-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E ELIZABETH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663105",
            "telephone_number": "715-526-4700",
            "fax_number": "715-526-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWANO COUNTY DEPT. OF SOCIAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAWANO COUNTY",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-526-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43082300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.