Active NPI
Alyssa Laurene Zube, LCSW
- Clinical Social Worker
- Viroqua, WI
National Provider Identifier
1811394398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8931-123
- Practice address
- 114 W Court St Ste B
Viroqua, WI 54665-1505 - Phone
- (608) 616-5030
- NPI assigned
- Nov 26, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 11428 | WI | |
| Clinical Social Worker | 1041C0700X | 8931-123 | WI | Primary |
Addresses
Primary practice location
114 W Court St Ste B
Viroqua, WI 54665-1505
Mailing address
N430 Riverside LN
Genoa, WI 54632-8851
Phone (608) 632-1621
Other practice location 1
500 E. Veterans Street
Tomah, WI 54660-3105
Phone (608) 372-3971 ext. 61842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11428 | WI | MD | Social Worker |
| 8931-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridge and Valley Counseling Inc | Social Worker | Current | Accepting new patients |
Locations
114 W Court St
Ste B
Viroqua, WI 54665
Phone (608) 616-5030
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 and National Provider Directory roles.
-
- Social Worker
- Viroqua, WI
- NPI 1457010167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1811394398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N430 RIVERSIDE LN",
"city": "GENOA",
"state": "WI",
"postal_code": "546328851",
"telephone_number": "608-632-1621",
"fax_number": "608-416-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W COURT ST STE B",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546651505",
"telephone_number": "608-616-5030"
}
],
"practiceLocations": [
{
"address_1": "500 E. Veterans Street",
"address_purpose": "LOCATION",
"city": "Tomah",
"state": "WI",
"postal_code": "546603105",
"country_code": "US",
"telephone_number": "608-372-3971 x61842",
"fax_number": "608-372-1203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUBE",
"first_name": "ALYSSA",
"middle_name": "LAURENE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2021-04-14",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "11428",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8931-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.