Individual provider Active NPI

Linda Stollfus

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1871968222
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8511-123 Issued in WI
Practice address
6333 Odana Rd
Madison, WI 53719-1170
Phone
(920) 851-6120
NPI assigned
Dec 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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 8511-123 WI Primary

Addresses

Primary practice location

6333 Odana Rd
Madison, WI 53719-1170

Mailing address

618 W Olin Ave
Apt.1
Madison, WI 53715-2138
Phone (920) 851-6120

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
I20170724001282 WI Practitioner - Clinical Social Worker 4284904301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8511-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Service Associates, SC CurrentSince Jun 19, 2017 Accepting new patients
Return Counseling LLC Clinical Current Accepting new patients

Locations

1341 Park Ave
Columbus, WI 53925
Phone (920) 623-2431

2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518

710 N Webb Ave
Reedsburg, WI 53959
Phone (608) 524-5151

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": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1871968222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W OLIN AVE",
            "address_2": "APT.1",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152138",
            "telephone_number": "920-851-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191170",
            "telephone_number": "920-851-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLFUS",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8511-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.