Individual provider Active NPI

Sara Fern Poquette, APSW

  • Social Worker
  • Hayward, WI
National Provider Identifier
1780426130
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
135271 Issued in WI
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

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210003084 WI Practitioner - Clinical Social Worker 7214467968 Reassigns benefits to 1 organization

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
Superior Counseling LLCGroup PAC ID 1456736065, 4 clinicians

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

LicenseStateTypeSpecialty
135271WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Counseling, LLC Social Worker CurrentSince Nov 30, 2024 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

Verify at the official NPI Registry.