Forest County Department of Social Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FOREST COUNTY DEPARTMENT OF SOCIAL SERVICES

Practice address

200 E Madison St
Crandon, WI 54520-1415

Phone

(715) 478-3351

Fax

(715) 478-2847

NPI assigned

May 8, 2008

Last updated

May 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Sekel

Title

Director

Phone

(715) 478-3351

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1992971089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MADISON ST",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201415",
            "telephone_number": "715-478-3351",
            "fax_number": "715-478-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MADISON ST",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201415",
            "telephone_number": "715-478-3351",
            "fax_number": "715-478-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST COUNTY DEPARTMENT OF SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SEKEL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-478-3351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43079200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Lynn Daniels, SAC-IT
• Jolene A Derfus, SAC-IT
• Laura Donatelle, DNP APRN FNP
• Tanya Ann Doyle, LPCC
• Tracy Lynne Ferraro-Schumacher, MSW
• Forest County Potawatomi Community (Potawatomi Health & Wellness Center)
• Forest County Potawatomi Health & Wellness
• Forest County Potawatomi Health & Wellness Center
• Margaret Gother, PT
• Debra Ann Hilgart

• Case Management Agency in Crandon, WI
• Providers in Crandon, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.