Individual provider Active NPI

Susan M Williams, LCSW

  • Clinical Social Worker
  • Sheboygan Falls, WI
National Provider Identifier
1982926903
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8599-123 Issued in WI
Practice address
467 River Oaks Dr
Sheboygan Falls, WI 53085-1072
Phone
(414) 202-5013
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 8599-123 WI Primary

Addresses

Primary practice location

467 River Oaks Dr
Sheboygan Falls, WI 53085-1072

Mailing address

467 River Oaks Dr
Sheboygan Falls, WI 53085-1072
Phone (414) 202-5013

Other identifiers 1

IdentifierTypeStateIssuer
100175038MedicaidWI

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
I20211104002156 WI Practitioner - Clinical Social Worker 3678580131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

11649 N Port Washington Rd
Suite 221
Mequon, WI 53092-3461
Phone (262) 999-3495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child Adolescent Family Marriage Therapy Associates Clinical Current Accepting new patients
Multi-Cultural Counseling Services II Inc. CurrentSince Sep 29, 2021 Accepting new patients
Cornerstone Counseling Services, Inc Addiction (Substance Use Disorder) CurrentSince Jan 21, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

11649 N Port Washington Rd
Ste 221
Mequon, WI 53092
Phone (262) 912-1922

1035 W Glen Oaks Ln
Ste 110
Mequon, WI 53092
Phone (262) 240-0299

11649 N Port Washington Rd
Ste 201
Mequon, WI 53092
Phone 2627891191380

2500 W Layton Ave
Ste 110
Milwaukee, WI 53221
Phone (414) 281-0424

230 W Wells St
Ste 630
Milwaukee, WI 53203
Phone (414) 272-5005

Organizations & group practices 4

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1982926903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 RIVER OAKS DR",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851072",
            "telephone_number": "414-202-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 RIVER OAKS DR",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851072",
            "telephone_number": "414-202-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8599-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100175038",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan Falls, WI

Sources for this page

Verify at the official NPI Registry.