Individual provider Active NPI

Celeste Marie Evica

  • Social Worker
  • Madison, WI
National Provider Identifier
1881527430
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
136155 Issued in WI
Practice address
815 Forward Dr
Madison, WI 53711-2443
Phone
(608) 268-6530
NPI assigned
Jun 4, 2026
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 136155 WI Primary

Addresses

Primary practice location

815 Forward Dr
Madison, WI 53711-2443

Mailing address

401 Park Way
Madison, WI 53705-2640

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
I20260616000013 WI Practitioner - Clinical Social Worker 4587136106

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

815 Forward Dr
Madison, WI 53711-2443

92 Tulip Ave
Belgrade, MT 59714-7540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
136155WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anesis Center for Marriage and Family Therapy CurrentSince Jul 1, 2026 Accepting new patients
Anesis Foundation for Mental Health Inc. CurrentSince Jul 1, 2026 Accepting new patients

Locations

2701 International Ln
Ste 201
Madison, WI 53704
Phone (608) 268-6530

815 Forward Dr
Madison, WI 53711
Phone (608) 268-6530

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1881527430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PARK WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FORWARD DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112443",
            "telephone_number": "608-268-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVICA",
        "first_name": "CELESTE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "136155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.