Active NPI
Suzannah E Oakes, APSW
- Clinical Social Worker
- Prairie Du Sac, WI
National Provider Identifier
1831972611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 134176
- Practice address
- 50 Prairie Ave
Prairie Du Sac, WI 53578-1541 - Phone
- (608) 643-3147
- Fax
- (608) 268-9780
- NPI assigned
- Aug 16, 2023
- Last updated
- Aug 27, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 134176 | WI | Primary |
Addresses
Primary practice location
50 Prairie Ave
Prairie Du Sac, WI 53578-1541
Mailing address
50 Prairie Ave
Prairie Du Sac, WI 53578-1541
Phone (608) 643-3147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100248073 | Medicaid | WI |
Other names 1
- Suzannah E Dagnon
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134176 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Center for Change LLC | Past | Accepting new patients | |
| Community Service Associates, SC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Pauquette Center for Psychological Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portage, WI
- NPI 1780610923
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1215068069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1831972611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 PRAIRIE AVE",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "535781541",
"telephone_number": "608-643-3147",
"fax_number": "608-268-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 PRAIRIE AVE",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "535781541",
"telephone_number": "608-643-3147",
"fax_number": "608-268-9780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKES",
"first_name": "SUZANNAH",
"middle_name": "E",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2024-08-27",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "134176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100248073",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNAH",
"last_name": "DAGNON",
"middle_name": "E",
"credential": "APSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Prairie Du Sac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.