Active NPI
Susan Kopp Townsley, LCSW
- Clinical Social Worker
- Viroqua, WI
National Provider Identifier
1780633529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6737 - 123
- Practice address
- 414 S East Ave
Viroqua, WI 54665 - Phone
- (608) 638-3332
- Fax
- (608) 637-7328
- NPI assigned
- May 9, 2006
- Last updated
- Jun 15, 2018
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6737 - 123 | WI | Primary |
Addresses
Primary practice location
414 S East Ave
Viroqua, WI 54665
Mailing address
414 S East Ave
Viroqua, WI 54665-2006
Phone (608) 638-3332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40945800 | Medicaid | WI |
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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
414 S E Ave
Viroqua, WI 54665-2006
Phone (608) 638-3332
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6737 - 123 | WI | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Viroqua, WI
- NPI 1588837074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1780633529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 S EAST AVE",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546652006",
"telephone_number": "608-638-3332",
"fax_number": "608-637-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 S EAST AVE",
"city": "VIROQUA",
"state": "WI",
"postal_code": "54665",
"telephone_number": "608-638-3332",
"fax_number": "608-637-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNSLEY",
"first_name": "SUSAN",
"middle_name": "KOPP",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "6737 - 123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40945800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Viroqua, WI
- Michael E Thorstenson, MD
- Thrive Counseling
- Eric Douglas Thunstedt, MA, CES, RCEP
- Thyrsus, LLC
- Prudence Tippins, MFT
- Transformationalchemy Sol Chiropractic (Sol Chiropractic)
- Tri-State Regional Ambulance, Inc. (Gundersen Coulee Trails)
- Sara Troshynski Fredelake
- Olivia R Tryggestad, APSW
- Megan Faith Tully
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.