Active NPI
Dana L Harcus, CSW BS
- Clinical Social Worker
- Darlington, WI
National Provider Identifier
1922324904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10213-120
- Practice address
- 627 Main St
Darlington, WI 53530-1395 - Phone
- (608) 776-4800
- Fax
- (608) 776-4914
- NPI assigned
- Apr 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10213-120 | WI | Primary |
Addresses
Primary practice location
627 Main St
Darlington, WI 53530-1395
Mailing address
627 Main St
Darlington, WI 53530-1395
Phone (608) 776-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42139000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10213-120 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1922324904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 MAIN ST",
"city": "DARLINGTON",
"state": "WI",
"postal_code": "535301395",
"telephone_number": "608-776-4800",
"fax_number": "608-776-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 MAIN ST",
"city": "DARLINGTON",
"state": "WI",
"postal_code": "535301395",
"telephone_number": "608-776-4800",
"fax_number": "608-776-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARCUS",
"first_name": "DANA",
"middle_name": "L",
"credential": "CSW BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "10213-120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42139000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.