Individual provider Active NPI

Natalie Fondell, LMSW

  • Clinical Social Worker
  • Wausau, WI
National Provider Identifier
1982374997
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
607 Bertha St
Wausau, WI 54403-7006
Phone
(715) 212-2874
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 Primary

Addresses

Primary practice location

607 Bertha St
Wausau, WI 54403-7006

Mailing address

607 Bertha St
Wausau, WI 54403-7006
Phone (715) 212-2874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240503002590 AZ Practitioner - Clinical Social Worker 4688014806 Reassigns benefits to 1 organization
I20251128000262 WI Practitioner - Clinical Social Worker 4688014806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways to Connection LLCGroup PAC ID 7719321561, 5 clinicians

Practice addresses (Care Compare)

130 Jessica PL
River Falls, WI 54022-4884
Phone (602) 218-1249

7007 W Cinnabar Ave
Peoria, AZ 85345-6894
Phone (928) 792-1357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Connection, LLC Clinical CurrentSince Mar 16, 2024 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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1982374997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BERTHA ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544037006",
            "telephone_number": "715-212-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BERTHA ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544037006",
            "telephone_number": "715-212-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDELL",
        "first_name": "NATALIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.