Individual provider Active NPI

Dawn Y Logemann, CSW

  • Social Worker
  • Chilton, WI
National Provider Identifier
1962267765
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9959-120 Issued in WI
Practice address
539 N Madison St Ste C
Chilton, WI 53014-1254
Phone
(920) 342-0103
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9959-120 WI Primary

Addresses

Primary practice location

539 N Madison St Ste C
Chilton, WI 53014-1254

Mailing address

W3352 Court Rd
Chilton, WI 53014-9476
Phone (920) 342-0103

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.THERAPLATFORM.COM Direct

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

State licenses

LicenseStateTypeSpecialty
9959-120WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liv Free Counseling Social Worker CurrentSince Mar 17, 2024 Accepting new patients

Locations

539 N Madison St
#C
Chilton, WI 53014
Phone (920) 342-0103

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1962267765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3352 COURT RD",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530149476",
            "telephone_number": "920-342-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 N MADISON ST STE C",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141254",
            "telephone_number": "920-342-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGEMANN",
        "first_name": "DAWN",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "9959-120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.THERAPLATFORM.COM",
            "affiliation": "N",
            "endpointDescription": "Online Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "online",
            "address_1": "539 N Madison St Ste C",
            "city": "Chilton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530141254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chilton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.