Judith A Yocius, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3362-123 Issued in WI

Practice address

1478 Kenwood Ctr
Suite 1
Menasha, WI 54952-1161

Phone

(920) 886-9319

Fax

(920) 886-9357

NPI assigned

Sep 9, 2005

Last updated

Jan 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Judith Demidt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Northwest Counseling Services, S.C.

  • Counselor
  • New Richmond, WI
  • NPI 1336298553
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1821082462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 KENWOOD CTR",
            "address_2": "SUITE 1",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521161",
            "telephone_number": "920-886-9319",
            "fax_number": "920-886-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 KENWOOD CTR",
            "address_2": "SUITE 1",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521161",
            "telephone_number": "920-886-9319",
            "fax_number": "920-886-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCIUS",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3362-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39716900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "DEMIDT",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Wood
• Veronica Kay Wright, CADC II
• PA Houa Thao Xiong, MSE, LPC-IT
• Shouacua Xiong
• Shannon Yang, MSE LPC CADCD
• Beth Young-Verkuilen, M.S.
• Abigail G Zeidler, MSW, APSW, LGSW

• Clinical Social Worker in Menasha, WI
• Providers in Menasha, 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 30, 2013; 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.