Individual provider Active NPI

Gwendolyn Jayne Martell-Daniels, LCSW, SAC

  • Clinical Social Worker
  • Merrill, WI
National Provider Identifier
1891906889
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125215 Issued in WI
Practice address
N2355 Smith Rd
Merrill, WI 54452-9453
Phone
(715) 551-1970
Fax
(715) 539-3580
NPI assigned
May 24, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11275 WI
Clinical Social Worker 1041C0700X 125215 WI Primary

Addresses

Primary practice location

N2355 Smith Rd
Merrill, WI 54452-9453

Mailing address

N2355 Smith Rd
Merrill, WI 54452-9453
Phone (715) 551-1970

Other identifiers 3

IdentifierTypeStateIssuer
40927200MedicaidWI
602114OtherWISTATE TAX ID
39-1991697OtherWIFED TAX ID

Other names 1

  • Wendie Martell-Williams Former name

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
I20090611000743 WI Practitioner - Clinical Social Worker 9638229677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

N2355 Smith Rd
Merrill, WI 54452-9453
Phone (715) 551-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125215WIMDClinical Social Worker
11275WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Visions Counseling Inc Clinical CurrentSince Apr 2, 2009 Accepting new patients
Visions Counseling II, LLC PastSince Apr 2, 2009 Accepting new patients

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1891906889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2355 SMITH RD",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529453",
            "telephone_number": "715-551-1970",
            "fax_number": "715-539-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2355 SMITH RD",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529453",
            "telephone_number": "715-551-1970",
            "fax_number": "715-539-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELL-DANIELS",
        "first_name": "GWENDOLYN",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "LCSW, SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-09-29",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11275",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "125215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40927200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID",
            "identifier": "602114",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "39-1991697",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDIE",
            "last_name": "MARTELL-WILLIAMS",
            "credential": "MSW, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrill, WI

Sources for this page

Verify at the official NPI Registry.