Individual provider Active NPI

Esmeralda Rawat, MSW, LCSW

  • Clinical Social Worker
  • Antigo, WI
National Provider Identifier
1861896540
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11153 Issued in WI
Practice address
1225 Langlade Rd
Antigo, WI 54409-2762
Phone
(715) 627-6694
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 11153 WI Primary

Addresses

Primary practice location

1225 Langlade Rd
Antigo, WI 54409-2762

Mailing address

1225 Langlade Rd
Antigo, WI 54409-2762
Phone (715) 627-6694

Other names 1

  • Esmeralda Romero Hernandez Other name

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
I20230316002455 WI Practitioner - Clinical Social Worker 6608240460 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11153WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Forest County Potawatomi Community CurrentSince Feb 12, 2024 Accepting new patients
Human Services Board Serving North Central Health Care Facility CurrentSince Feb 20, 2023 Accepting new patients
Human Services Board Serving North Central Health Care Facility CurrentSince Feb 20, 2023 Accepting new patients
Forest County Potawatomi Health & Wellness Center CurrentSince Feb 12, 2024 Accepting new patients

Locations

1225 Langlade Rd
Antigo, WI 54409
Phone (715) 623-2394

8201 Mish Ko Swen Dr
Crandon, WI 54520
Phone (715) 478-4300

2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600

1100 Lake View Dr
Wausau, WI 54403
Phone (715) 848-4454

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8439/brand/1/csg/21/fhir/r4
  • Direct secure messaging: esmeralda.rawat.1@8439.direct.athenahealth.com

Organizations & group practices 4

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1861896540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 LANGLADE RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092762",
            "telephone_number": "715-627-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 LANGLADE RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092762",
            "telephone_number": "715-627-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWAT",
        "first_name": "ESMERALDA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESMERALDA",
            "last_name": "ROMERO HERNANDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Antigo, WI

Sources for this page

Verify at the official NPI Registry.