Elizabeth Fettig, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9205-123 Issued in WI

Practice address

50 Prairie Ave
Prairie Du Sac, WI 53578-1541

Phone

(608) 643-3147

Fax

(608) 643-3178

NPI assigned

Jun 22, 2007

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Beth Fettig Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1891991360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KESSEL CT STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PRAIRIE AVE",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781541",
            "telephone_number": "608-643-3147",
            "fax_number": "608-643-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTIG",
        "first_name": "ELIZABETH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9205-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "FETTIG",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Scott A Ensminger, D.O.
• Andrew Ertl, MD
• Jeffrey J Everson, PAC
• Ann M Evert, RDH
• Margaret Owen Faludi, OTR
• Kari Fisher, APNP
• James Edward Force, PT
• Foremost Physical Therapy LLC
• Joellen E Frawley, APNP
• Brenda Kay Fronsee, PT

• Clinical Social Worker in Prairie Du Sac, WI
• Providers in Prairie Du Sac, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.