Individual provider Active NPI

Euginia Botshtein

  • Clinical Social Worker
  • Mequon, WI
National Provider Identifier
1972452183
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12758-123 Issued in WI
Practice address
10211 N Trillium Rd
Mequon, WI 53092-6174
Phone
(414) 617-2201
NPI assigned
Jan 22, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 12758-123 WI Primary

Addresses

Primary practice location

10211 N Trillium Rd
Mequon, WI 53092-6174

Mailing address

10211 N Trillium Rd
Mequon, WI 53092-6174
Phone (414) 617-2201

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260409002718 WI Practitioner - Clinical Social Worker 5092280826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10211 N Trillium Rd
Mequon, WI 53092-6174
Phone (414) 617-2201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12758-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wecare Counseling LLC Clinical Current Accepting new patients

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": "1769040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1972452183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 N TRILLIUM RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926174",
            "telephone_number": "414-617-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 N TRILLIUM RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926174",
            "telephone_number": "414-617-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTSHTEIN",
        "first_name": "EUGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12758-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.