Individual provider Active NPI

Erin Lorraine Neill, LCSW, PHD

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1740818210
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9423-123 Issued in WI
Practice address
7633 Ganser Way Ste 200
Madison, WI 53719-2092
Phone
(608) 688-3200
Fax
(608) 688-3300
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 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 9423-123 WI Primary

Addresses

Primary practice location

7633 Ganser Way Ste 200
Madison, WI 53719-2092

Mailing address

7633 Ganser Way Ste 200
Madison, WI 53719-2092
Phone (608) 688-3200

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
I20210920001662 WI Practitioner - Clinical Social Worker 0143627026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 Ray O Vac Dr
Suite 320
Madison, WI 53711-2471
Phone (608) 688-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Counseling LLC Clinical CurrentSince Aug 25, 2021 Accepting new patients
Westside Psychotherapy LLC PastSince Apr 1, 2020 Accepting new patients
Cornerstone Counseling Services, Inc PastSince Apr 1, 2020 Accepting new patients

Locations

700 Ray O Vac Dr
Ste 320
Madison, WI 53711
Phone (608) 520-0846

7633 Ganser Way
Ste 200
Madison, WI 53719
Phone (608) 286-2534

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1740818210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 GANSER WAY STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192092",
            "telephone_number": "608-688-3200",
            "fax_number": "608-688-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 GANSER WAY STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192092",
            "telephone_number": "608-688-3200",
            "fax_number": "608-688-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "ERIN",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9423-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.