Individual provider Active NPI

Joanna E Schohl, LCSW

  • Clinical Social Worker
  • Fond Du Lac, WI
National Provider Identifier
1841335528
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2136-123 Issued in WI
Practice address
225 S Hickory St
Fond Du Lac, WI 54935-4830
Phone
(920) 922-9552
Fax
(920) 322-9479
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2136-123 WI Primary

Addresses

Primary practice location

225 S Hickory St
Fond Du Lac, WI 54935-4830

Mailing address

225 S Hickory St
Fond Du Lac, WI 54935-4830
Phone (920) 922-9552

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
I20150515002064 WI Practitioner - Clinical Social Worker 6103146014 Practice locations: Fond Du Lac, WI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2136-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot Clinic, SC Past Accepting new patients
Preferred Podiatry Group PC PastSince Nov 20, 2017 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841335528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S HICKORY ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354830",
            "telephone_number": "920-922-9552",
            "fax_number": "920-322-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S HICKORY ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354830",
            "telephone_number": "920-922-9552",
            "fax_number": "920-322-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOHL",
        "first_name": "JOANNA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2136-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

Verify at the official NPI Registry.