Active NPI
Anna Jo Childs, LCSW, CSAC
- Clinical Social Worker
- Butternut, WI
National Provider Identifier
1801397997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9380-123
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 132-16012 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Butternut, WI
- NPI 1881218436
-
dba Jackson County DHHS Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Black River Falls, WI
- NPI 1801114632
-
- Public Health or Welfare Agency
- Black River Falls, WI
- NPI 1720311475
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.