Anna Jo Childs, LCSW, CSAC
Individual provider Active NPI Clinical Social Worker · Butternut, WI
NPI 1801397997 · NPPES record last updated Jan 5, 2026
Key facts
- NPI
- 1801397997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9380-123 (WI)
- Practice address
- 79895 Bear Lake Rd
Butternut, WI 54514-9129 - Phone
- (715) 663-0717
- Fax
- (715) 727-4927
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200701000201 | WI | Practitioner - Clinical Social Worker | 4284056615 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132-16012 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 9380-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Jackson | Past | Accepting new patients | |
| Jackson County Public Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 132-16012 | WI | |
| Clinical Social Worker | 1041C0700X | 9380-123 | WI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801397997 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | annajchilds@serenecounseling.net | Direct |
Other providers in Butternut, WI
- Lauren Adams
- Angels on Wheels
- Butternut School District
- Karen Carol Powell
- Glenn M Sales
- Serene Counseling, LLC
- Gerald E Templin
- Debra Thomas
All providers in Butternut, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.