Individual provider Active NPI

Nicole M Steldt, LCSW

  • Clinical Social Worker
  • Boscobel, WI
National Provider Identifier
1881148153
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8636 Issued in WI
Practice address
208 Parker St
Boscobel, WI 53805-1648
Phone
(608) 822-3737
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 129272-121 WI
Clinical Social Worker 1041C0700X 8636 WI Primary

Addresses

Primary practice location

208 Parker St
Boscobel, WI 53805-1648

Mailing address

205 Parker St
Boscobel, WI 53805-1642
Phone (608) 822-3737

Other practice location 1

221 W Seminary St
Richland Center, WI 53581-2358
Phone (608) 649-5782

Other practice location 2

500 E Veterans St
Tomah, WI 54660-3105
Phone (608) 372-3971 ext. 66440

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
I20170502001586 WI Practitioner - Clinical Social Worker 7618254517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of BoscobelGroup PAC ID 8325957673, 33 clinicians

Practice addresses (Care Compare)

208 Parker St
Boscobel, WI 53805-1648
Phone (608) 375-2424

220 Lincoln Ave
Fennimore, WI 53809-1036
Phone (608) 822-3737

525 N Wisconsin Ave
Muscoda, WI 53573-9251
Phone (608) 739-3138

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129272-121WIMDSocial Worker
8636WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Boscobel CurrentSince Apr 1, 2019 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 1, 2019 Accepting new patients

Locations

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

208 Parker St
Boscobel, WI 53805
Phone (608) 375-2424

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1881148153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PARKER ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051642",
            "telephone_number": "608-822-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PARKER ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051648",
            "telephone_number": "608-822-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 W Seminary St",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535812358",
            "country_code": "US",
            "telephone_number": "608-649-5782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Veterans St",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546603105",
            "country_code": "US",
            "telephone_number": "608-372-3971 x66440",
            "fax_number": "608-372-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELDT",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129272-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boscobel, WI

Sources for this page

Verify at the official NPI Registry.