Individual provider Active NPI

Alyssa Laurene Zube, LCSW

  • Clinical Social Worker
  • Viroqua, WI
National Provider Identifier
1811394398
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8931-123 Issued in WI
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

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11428WIMDSocial Worker
8931-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ridge and Valley Counseling Inc Social Worker CurrentSince Dec 12, 2021 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.

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.

Verify at the official NPI Registry.