Active NPI
Lynne Norise Shaffer, MSW
- Social Worker
- Menomonie, WI
National Provider Identifier
1720172968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 326-122
- Practice address
- 808 Main St E
Menomonie, WI 54751-2735 - Phone
- (715) 232-1116
- Fax
- (715) 232-5987
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 326-122 | WI | Primary |
Addresses
Primary practice location
808 Main St E
Menomonie, WI 54751-2735
Mailing address
4420 Woodridge Dr
Eau Claire, WI 54701-8039
Phone (715) 835-5091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326-122 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Dunn | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Menomonie, WI
- NPI 1588667406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720172968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 WOODRIDGE DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547018039",
"telephone_number": "715-835-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 MAIN ST E",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512735",
"telephone_number": "715-232-1116",
"fax_number": "715-232-5987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "LYNNE",
"middle_name": "NORISE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "326-122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonie, WI
Sources for this page
- 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.