CHILDREN'S SERVICE SOCIETY OF WISCONSIN (NPI# 1184896920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184896920 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S SERVICE SOCIETY OF WISCONSIN |
| Practice Address |
2004 Highland Ave Suite N Eau Claire WI 54701-4400 |
| Practice Telephone | 7158355915 |
| Practice Fax Number | 7158358112 |
| Mailing Telephone | 7158355915 |
| Mailing Fax Number | 7158358112 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | MARNIE HERSRUD (AREA SUPERVISOR) |
| Authorized Official Telephone | 7158355915 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1186 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42126300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305941 | Children's Service Society of Wisconsin | Case Management | W11109 Rogers Rd, Black River Falls, WI 54615-6051 | 2019-03-13 |
| 1124292420 | Children's Service Society of Wisconsin | Counselor | 601 S Central Ave, Suite 200, Marshfield, WI 54449-4104 | 2008-04-17 |
| 1255505020 | Children's Service Society of Wisconsin | Counselor | 1466 Water St, Suite 2, Stevens Point, WI 54481-2919 | 2008-04-14 |
| 1548434848 | Children's Service Society of Wisconsin | Counselor | 8800 Washington Ave, Suite 100, Mount Pleasant, WI 53406-3701 | 2008-04-17 |
| 1083888382 | Children's Service Society of Wisconsin | Counselor | 620 S 76th St, Suite 120, Milwaukee, WI 53214-1549 | 2008-04-17 |
| 1073787370 | Children's Service Society of Wisconsin | Counselor | 223 Wisconsin Ave, Suite D, Waukesha, WI 53186-4968 | 2008-04-17 |
| 1528232386 | Children's Service Society of Wisconsin | Marriage & Family Therapist | 1716 Fordem Ave, Madison, WI 53704-4604 | 2008-04-14 |
| 1962676734 | Children's Service Society of Wisconsin | Marriage & Family Therapist | 325 N Commercial St, Suite 400, Neenah, WI 54956-2665 | 2008-04-14 |
| 1992979769 | Children's Service Society of Wisconsin | Social Worker | 601 S 8th St, Sheboygan, WI 53081-4405 | 2008-04-14 |
| 1821262684 | Children's Service Society of Wisconsin | Social Worker | 8207 22nd Ave, Suite 155, Kenosha, WI 53143-6211 | 2008-04-14 |
| Street Address |
2004 HIGHLAND AVE SUITE N |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972049740 | Martha Stolp | Counselor | 2004 Highland Ave, Suite 2n, Eau Claire, WI 54701-4400 | 2017-01-17 |
| 1942681846 | Olivia Jean Tomfohrde | Marriage & Family Therapist | 2004 Highland Ave, Eau Claire, WI 54701-4400 | 2015-06-16 |
| 1205105350 | Ann Tonette Ball | Counselor | 2004 Highland Ave, Suite N, Eau Claire, WI 54701-4400 | 2011-12-19 |
| 1518122217 | Angela K Weideman | Marriage & Family Therapist | 2004 Highland Ave, Suite N, Eau Claire, WI 54701-4400 | 2008-07-22 |
| 1528232329 | Kristine Mary Parkins | Social Worker | 2004 Highland Ave, Suite M, Eau Claire, WI 54701-4400 | 2008-04-14 |
| 1750563201 | Family Chiropractic & Wellness Center, Sc | Chiropractor | 2004 Highland Ave, Suite 0, Eau Claire, WI 54701-4400 | 2007-11-27 |
| 1255446316 | Marnie Louise Hersrud | Social Worker | 2004 Highland Ave, Suite N, Eau Claire, WI 54701-4400 | 2006-08-20 |
| 1508971300 | Allison Lynn Kunkel | Social Worker | 2004 Highland Ave, Suite N, Eau Claire, WI 54701-4400 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689993602 | Triniteam, Inc. | Community/Behavioral Health | 202 Graham Ave, Eau Claire, WI 54701-3632 | 2010-06-01 |
| 1053509174 | Eau Claire County Department of Human Services | Community/Behavioral Health | 721 Oxford Ave, Eau Claire, WI 54703-5212 | 2007-10-15 |
| 1720135932 | Clinic for Christian Counseling LLC | Community/Behavioral Health | 505 South Dewey Street, Suite 208, Eau Claire, WI 54701 | 2007-01-03 |
| 1730643263 | County of Eau Claire | Community/Behavioral Health | 721 Oxford Ave, Eau Claire, WI 54703-5212 | 2019-01-29 |
| 1326589375 | Clear Water Therapy, LLC | Community/Behavioral Health | 732 Chauncey St, Eau Claire, WI 54701-4207 | 2017-03-09 |
| 1225483126 | Eau Claire County Dept. of Human Services | Community/Behavioral Health | 721 Oxford Ave, Eau Claire, WI 54703-5212 | 2016-04-28 |
| 1396182077 | Clinicare Corporation | Community/Behavioral Health | 550 N Dewey St, Eau Claire, WI 54703-3218 | 2013-06-04 |
| 1346406774 | Eau Claire County Department of Human Services | Community/Behavioral Health | 721 Oxford Ave, Eau Claire, WI 54703-5212 | 2008-08-05 |
| 1851571152 | Eau Claire County Department of Human Services | Community/Behavioral Health | 721 Oxford Ave, Eau Claire, WI 54703-5212 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1437776457 | Milkweed Connections LLC | Community/Behavioral Health | 1700 Tainter St Ste D, Menomonie, WI 54751-1358 | 2020-06-26 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| 1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
| 1841831153 | Sheboygan County Halfway House | Community/Behavioral Health | 503 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-10-08 |
| 1780234955 | Spirited Psychological Services LLC | Community/Behavioral Health | 376 Violet Cir, Grantsburg, WI 54840-8564 | 2019-09-18 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1104386101 | Counseling Center | Community/Behavioral Health | 601 N 5th St, Sheboygan, WI 53081-4624 | 2019-03-25 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on CHILDREN'S SERVICE SOCIETY OF WISCONSIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.