Individual provider Active NPI

Judy A. Bessac, L.C.S.W.

  • Clinical Social Worker
  • Wisconsin Dells, WI
National Provider Identifier
1831236694
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1281 - 123 Issued in WI
Practice address
220 Wisconsin Dells Pkwy S Ste 1
Wisconsin Dells, WI 53965-8328
Phone
(608) 448-6418
Fax
(844) 705-0151
NPI assigned
Jan 31, 2007
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1281 - 123 WI Primary

Addresses

Primary practice location

220 Wisconsin Dells Pkwy S Ste 1
Wisconsin Dells, WI 53965-8328

Mailing address

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

Other identifiers 1

IdentifierTypeStateIssuer
39645100MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000441 WI Practitioner - Clinical Social Worker 5395779391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Calming Journeys Counseling SCGroup PAC ID 9335569763, 2 clinicians

Practice addresses (Care Compare)

220 Wisconsin Dells Pkwy S
Suite 1
Wisconsin Dells, WI 53965-8328
Phone (608) 448-6418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1281 - 123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Journeys Counseling, S.C. Clinical CurrentSince Sep 15, 2020 Accepting new patients

Locations

220 Wisconsin Dells Pkwy S
Ste 1
Wisconsin Dells, WI 53965
Phone (608) 448-6418

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1831236694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WISCONSIN DELLS PKWY S STE 1",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539658328",
            "telephone_number": "608-448-6418",
            "fax_number": "844-705-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSAC",
        "first_name": "JUDY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1281 - 123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39645100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Dells, WI

Sources for this page

Verify at the official NPI Registry.