Anthony James Utrie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11279-123 Issued in WI

Practice address

6622 Offshore Dr
Madison, WI 53705-4236

Phone

(608) 571-2536

Fax

(920) 887-8839

NPI assigned

May 24, 2021

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Serene Innovations Counseling LLC

  dba Serene Innovations Counseling

  • Clinical Social Worker
  • Madison, WI
  • NPI 1649081340
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1811562739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 OFFSHORE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054236",
            "telephone_number": "920-296-6599",
            "fax_number": "920-887-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 OFFSHORE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054236",
            "telephone_number": "608-571-2536",
            "fax_number": "920-887-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTRIE",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19383-130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11279-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Usman Usman, MD
• Jerri Ustby-Cruz Bye
• Usv Optical Inc
• Usv Optical Inc
• Judith A Utevsky, LCSW
• Gina A Utrie, MD
• Michael R Utschig, DC
• Lynet Uttal, LCSW, MSW, PHD, BS
• Cheryl J Uttech, RN
• Nicholas Paul Utter, APSW

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.