Wadena County Social Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WADENA COUNTY SOCIAL SERVICES

Practice address

124 1St St SE
Wadena, MN 56482-1571

Phone

(218) 631-7605

Fax

(218) 631-7616

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Paul Sailer

Title

Director

Phone

(218) 631-7605

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Catherine Keppers

  • Registered Nurse
  • Wadena, MN
  • NPI 1770114498
  NPD
• Sarah Ness, RN

  • Registered Nurse
  • Wadena, MN
  • NPI 1932086584
  NPD
• Cheryl A Genoch, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Wadena, MN
  • NPI 1508553470
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1962631473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 1ST ST SE",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821571",
            "telephone_number": "218-631-7605",
            "fax_number": "218-631-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 1ST ST SE",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821571",
            "telephone_number": "218-631-7605",
            "fax_number": "218-631-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADENA COUNTY SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "SAILER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-631-7605"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A000080900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Tyrrell, LPCC
• Jamie L Udy, FNP
• Thomas P. Van Bruggen, M.D.
• Danelle Mary Vandermay
• Jessica Lee Vanhavermaet, DDS
• Wadena Eye Clinic LTD
• Wadena Family Dental, P. a.
• Wadena Medical Center, LTD
• Wadena-Deer Creek Public School
• Resa Jean Walker, LADC

• Case Management Agency in Wadena, MN
• Providers in Wadena, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.