Individual provider Active NPI

Faith J Lerner, MSSW CICSW

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1891756771
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2260 Issued in WI
Practice address
4513 Vernon Blvd Ste 17
Madison, WI 53705
Phone
(608) 236-4460
Fax
(608) 236-4461
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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 2260 WI Primary

Addresses

Primary practice location

4513 Vernon Blvd Ste 17
Madison, WI 53705

Mailing address

4513 Vernon Blvd Ste 17
Madison, WI 53705-4964
Phone (608) 236-4460

Other identifiers 1

IdentifierTypeStateIssuer
39220900MedicaidWI

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
I20090226000656 WI Practitioner - Clinical Social Worker 6800952821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
212 Psychotherapy LLCGroup PAC ID 9234547829, 2 clinicians

Practice addresses (Care Compare)

7109 Brindley Cir
Madison, WI 53719-2128
Phone (608) 205-8650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
212 Psychotherapy LLC CurrentSince Jan 2, 2021 Accepting new patients
Family Service Madison Inc PastSince Sep 1, 1999 Accepting new patients
Psychology Clinic Inc. PastSince Mar 8, 2010 Accepting new patients
Cornerstone Counseling Services, Inc PastSince Aug 25, 2018 Accepting new patients
Hhu Xtra Care Inc Past Accepting new patients

Organizations & group practices 5

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1891756771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 VERNON BLVD STE 17",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054964",
            "telephone_number": "608-236-4460",
            "fax_number": "608-236-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 VERNON BLVD STE 17",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53705",
            "telephone_number": "608-236-4460",
            "fax_number": "608-236-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "FAITH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSSW CICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39220900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.