Active NPI
Sara Fern Poquette, APSW
- Social Worker
- Hayward, WI
National Provider Identifier
1780426130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 135271
- Practice address
- 10592 Main St
Hayward, WI 54843-6658 - Phone
- (715) 934-1381
- NPI assigned
- Jun 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 135271 | WI | Primary |
Addresses
Primary practice location
10592 Main St
Hayward, WI 54843-6658
Mailing address
9829 N Golf Villa LN
Hayward, WI 54843-7709
Phone (218) 940-3624
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10592 Main St
Hayward, WI 54843-6658
Phone (715) 416-1381
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135271 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Counseling, LLC | Social Worker | Current | Accepting new patients |
Locations
10594 Main St
North Woods Beach, WI 54843
Phone (715) 416-1381
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1780426130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9829 N GOLF VILLA LN",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548437709",
"telephone_number": "218-940-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10592 MAIN ST",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548436658",
"telephone_number": "715-934-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POQUETTE",
"first_name": "SARA",
"middle_name": "FERN",
"credential": "APSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-07",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "135271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.