Active NPI
Judy Lemke, LCSW, LPC
- Clinical Social Worker
- Wausau, WI
National Provider Identifier
1962559641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3786-123
- Practice address
- 3600 Stewart Ave
Wausau, WI 54401-3944 - Phone
- (715) 842-9500
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3786-123 | WI | Primary |
| Professional Counselor | 101YP2500X | 1418-125 | WI |
Addresses
Primary practice location
3600 Stewart Ave
Wausau, WI 54401-3944
Mailing address
PO Box 442
Tomahawk, WI 54487-0442
Phone (715) 966-0962
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220105000410 | WI | Practitioner - Clinical Social Worker | 7012308851 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
213 Stonefield Dr
Lake Mills, WI 53551-1965
PO Box
Suite 1508
Granby, CO 80446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1418-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Clinic, LLC | Professional | Current | Accepting new patients |
Locations
2417 Post Rd
Stevens Point, WI 54481
Phone (715) 544-6144
630 S 36th Ave
Wausau, WI 54401
Phone (414) 301-1060
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": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1962559641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 442",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544870442",
"telephone_number": "715-966-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 STEWART AVE",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544013944",
"telephone_number": "715-842-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMKE",
"first_name": "JUDY",
"credential": "LCSW, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "3786-123",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "1418-125",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.