Active NPI
Lindsay M Krueger, LCSW, SAC-IT
- Clinical Social Worker
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9701
- Practice address
- 1100 Lake View Dr
Wausau, WI 54403-6799 - Phone
- (715) 848-4600
- NPI assigned
- May 10, 2019
- Last updated
- May 19, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18767 | WI | |
| Social Worker | 104100000X | 131489 | WI | |
| Clinical Social Worker | 1041C0700X | 9701 | WI | Primary |
Addresses
Primary practice location
1100 Lake View Dr
Wausau, WI 54403-6799
Mailing address
1100 Lake View Dr
Wausau, WI 54403-6799
Phone (715) 848-4600
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Marshall St
Suite a
Wausau, WI 54403-6738
Phone (715) 848-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18767 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 131489 | WI | MD | Social Worker |
| 9701 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Services Board Serving North Central Health Care Facility | Current | Accepting new patients | |
| Human Services Board Serving North Central Heatlh Care Facility | Current | Accepting new patients | |
| Human Services Board Serving North Central Health Care Facility | Current | Accepting new patients |
Locations
1225 Langlade Rd
Antigo, WI 54409
Phone (715) 623-2394
607 N Sales St
Ste 309
Merrill, WI 54452
Phone (715) 536-9482
1100 Lake View Dr
Wausau, WI 54403
Phone (715) 848-4454
2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Central Health Care
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1205944543
-
dba North Central Health Care Youth Behavioral Health Hospital
- Psychiatric Hospital
- Wausau, WI
- NPI 1932714292
-
dba North Central Heatlh Care
- Multi-Specialty Clinic/Center
- Wausau, WI
- NPI 1821106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1790341279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LAKE VIEW DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544036799",
"telephone_number": "715-848-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE VIEW DR",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544036799",
"telephone_number": "715-848-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "LINDSAY",
"middle_name": "M",
"credential": "LCSW, SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "18767",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "131489",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.