Individual provider Active NPI

Lois Swanson, LCSW

  • Clinical Social Worker
  • Wausau, WI
National Provider Identifier
1902264260
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123-8132 Issued in WI
Practice address
3532 Stewart Ave
Wausau, WI 54401-4919
Phone
(715) 845-9400
Fax
(715) 848-8006
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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 123-8132 WI Primary

Addresses

Primary practice location

3532 Stewart Ave
Wausau, WI 54401-4919

Mailing address

3532 Stewart Ave
Wausau, WI 54401-4919
Phone (715) 845-9400

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
I20200528000295 WI Practitioner - Clinical Social Worker 3678994795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charis Counseling LLCGroup PAC ID 1456244276, 13 clinicians

Practice addresses (Care Compare)

2620 Stewart Ave
Suite 310
Wausau, WI 54401-4162
Phone (715) 848-0525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123-8132WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Counseling, LLC Clinical CurrentSince Apr 6, 2020 Accepting new patients

Locations

101 W McMillan St
Ste 2B
Marshfield, WI 54449
Phone (715) 389-9382

2620 Stewart Ave
Ste 310
Wausau, WI 54401
Phone (715) 848-0525

Organizations & group practices 1

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1902264260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014919",
            "telephone_number": "715-845-9400",
            "fax_number": "715-848-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014919",
            "telephone_number": "715-845-9400",
            "fax_number": "715-848-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "LOIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "123-8132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.