Samantha Rae Wimmer, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

130684-121 Issued in WI

Practice address

901 N 6TH St
Wausau, WI 54403-4718

Phone

(715) 848-5022

NPI assigned

Jul 6, 2018

Last updated

Jul 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• All Seasons Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
  • NPI 1396490132
  Medicare reassignment NPD Authorized official
• The Centre for Well-Being, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
  • NPI 1144426495
  Medicare reassignment NPD

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1881180438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 STATE HIGHWAY 153",
            "city": "KRONENWETTER",
            "state": "WI",
            "postal_code": "544558209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N 6TH ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034718",
            "telephone_number": "715-848-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "SAMANTHA",
        "middle_name": "RAE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "130684-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda E Williams
• Elizabeth Williams, CST
• Candace Lynn Wills, CRNA
• Chantall Willson, CFM, CST, CNA
• Elizabeth Jeannie Wilson-Ward, MD, FACEP
• Tyler J Wimmer
• Jessica Jean Wincentsen, APNP
• Maxwell Joseph Wingelaar, MD
• Stephanie Ruth Winker
• Kelly Wirkus, OTR

• Social Worker in Wausau, WI
• Providers in Wausau, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.