Individual provider Active NPI

Emily Barrett, MSW, LCSW

  • Clinical Social Worker
  • Monona, WI
National Provider Identifier
1902379456
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9080-123 Issued in WI
Practice address
100 River PL Ste 260
Monona, WI 53716-4043
Phone
(608) 492-0091
NPI assigned
Jan 8, 2019
Last updated
Jan 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9080 WI
Clinical Social Worker 1041C0700X 9080-123 WI Primary

Addresses

Primary practice location

100 River PL Ste 260
Monona, WI 53716-4043

Mailing address

408 West St
Stoughton, WI 53589-1357
Phone (262) 751-3156

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
I20260123000375 WI Practitioner - Clinical Social Worker 6901383728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moontree Psychotherapy Center LLCGroup PAC ID 3274660295, 11 clinicians

Practice addresses (Care Compare)

401 Wisconsin Ave
FL 2
Madison, WI 53703-1462
Phone 60825651153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9080WIMDClinical Social Worker
9080-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Barrett Wellness and Psychotherapy, LLC Clinical Current Accepting new patients
Moontree Psychotherapy Center LLC CurrentSince Jan 1, 2026 Accepting new patients
Oregon Mental Health Services,LLC PastSince Apr 15, 2008 Accepting new patients

Locations

401 Wisconsin Ave
Fl 2
Madison, WI 53703
Phone (608) 256-5115

100 River Pl
Ste 260
Monona, WI 53716
Phone (608) 221-2265

Organizations & group practices 3

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1902379456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WEST ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891357",
            "telephone_number": "262-751-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER PL STE 260",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164043",
            "telephone_number": "608-492-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "EMILY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9080",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9080-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

Verify at the official NPI Registry.