Individual provider Active NPI

Anna Jo Childs, LCSW, CSAC

  • Clinical Social Worker
  • Butternut, WI
National Provider Identifier
1801397997
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9380-123 Issued in WI
Practice address
79895 Bear Lake Rd
Butternut, WI 54514-9129
Phone
(715) 663-0717
Fax
(715) 727-4927
NPI assigned
Feb 23, 2018
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 132-16012 WI
Clinical Social Worker 1041C0700X 9380-123 WI Primary

Addresses

Primary practice location

79895 Bear Lake Rd
Butternut, WI 54514-9129

Mailing address

79895 Bear Lake Rd
Butternut, WI 54514-9129
Phone (715) 663-0717

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL annajchilds@serenecounseling.net Direct

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
I20200701000201 WI Practitioner - Clinical Social Worker 4284056615

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15735 US Hwy 63
Hayward, WI 54843-6475

15735 W US Hwy 63
Hayward, WI 54843-6475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132-16012WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Public Health Past Accepting new patients
County of Jackson Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1801397997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79895 BEAR LAKE RD",
            "city": "BUTTERNUT",
            "state": "WI",
            "postal_code": "545149129",
            "telephone_number": "715-663-0717",
            "fax_number": "715-727-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79895 BEAR LAKE RD",
            "city": "BUTTERNUT",
            "state": "WI",
            "postal_code": "545149129",
            "telephone_number": "715-663-0717",
            "fax_number": "715-727-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "ANNA",
        "middle_name": "JO",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "132-16012",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9380-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "annajchilds@serenecounseling.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "79895 Bear Lake Rd",
            "city": "Butternut",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545149129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butternut, WI

Sources for this page

Verify at the official NPI Registry.