Lawrence E Woodward II, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1269-123 Issued in WI

Practice address

516 McClellan St
Wausau, WI 54403-4844

Phone

(715) 842-5577

Fax

(715) 845-8483

NPI assigned

Nov 14, 2006

Sex

Male

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 and National Provider Directory roles.

• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1386719177
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699847772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W CLAIREMONT AVE",
            "address_2": "STE 200",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014566",
            "telephone_number": "715-834-2046",
            "fax_number": "715-834-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MCCLELLAN ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034844",
            "telephone_number": "715-842-5577",
            "fax_number": "715-845-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1269-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39285600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Wolfe, DPT
• Madilyn Rae Woller, M.S.
• Britta Wolter, APNP
• Denise Wonsil-Michlig
• Woodson Young Men'S Christian Association, Inc.
• Beth Marie Wright, AGACNP-BC DNP BSN RN
• Blake Bertton Wright, DNP, CRNA
• Katherine A H Wright, PH.D.
• Delaney L Wulf
• Robert Donald Wurth

• Clinical Social Worker in Wausau, WI
• Providers in Wausau, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.