Individual provider Active NPI

Dana L Harcus, CSW BS

  • Clinical Social Worker
  • Darlington, WI
National Provider Identifier
1922324904
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10213-120 Issued in WI
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

Updated by the provider on Apr 15, 2010

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 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

IdentifierTypeStateIssuer
42139000MedicaidWI

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

LicenseStateTypeSpecialty
10213-120WIMDClinical 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.

Verify at the official NPI Registry.