RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA (NPI# 1205007796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205007796 |
| Entity Type | Organization |
| Organization Name | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA |
| Other Organization Name | RED CLIFF COMMUNITY HEALTH CENTER |
| Practice Address |
88455 Pike Road Bayfield WI 54814 |
| Mailing Address |
88385 Pike Rd Bayfield WI 54814-4818 |
| Practice Telephone | 7157793707 |
| Practice Fax Number | 7157793711 |
| Mailing Telephone | 7157793700 |
| Mailing Fax Number | 7157793704 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | MS. PATRICIA ANN DERAGON-NAVARRO (HEALTH ADMINISTRATOR) |
| Authorized Official Telephone | 7157793707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
772-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICAID-MENTAL HEALTH | 42200000 | 01 |
| Other Name | Type Code |
|---|---|
| Red Cliff Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215095641 | Red Cliff Band of Lake Superior Chippewa | Dentist | 88385 Pike Rd, Bayfield, WI 54814-4818 | 2006-12-05 |
| 1730257122 | Red Cliff Band of Lake Superior Chippewa | Pharmacist | 88385 Pike Road, Bayfield, WI 54814 | 2006-12-01 |
| 1902077464 | Red Cliff Band of Lake Superior Chippewa | Registered Nurse | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| 1083885545 | Red Cliff Band of Lake Superior Chippewa | Durable Medical Equipment & Medical Supplies | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| 1497744015 | Red Cliff Band of Lake Superior Chippewa | Clinic/Center | 36745 Aiken Rd, Bayfield, WI 54814-4579 | 2005-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS | 88455 Pike Rd, Bayfield, WI 54814-4741 |
| Street Address |
88455 PIKE ROAD |
| City | BAYFIELD |
| State | WI |
| Zip Code | 54814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902077464 | Red Cliff Band of Lake Superior Chippewa | Registered Nurse | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| 1083885545 | Red Cliff Band of Lake Superior Chippewa | Durable Medical Equipment & Medical Supplies | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760830103 | Orthopedic & Spine Therapy of Poplar Sc | Physical Therapist | 33 N 1st St, Bayfield, WI 54814 | 2016-05-26 |
| 1265812481 | Valley Birch, LLC | Community/Behavioral Health | 249 Rittenhouse Avenue, Bayfield, WI 54814 | 2015-06-03 |
| 1518137652 | Ellie Heydari | Dentist | 36745 Aiken Rd., Red Cliff Community Health Center, Bayfield, WI 54814 | 2008-03-05 |
| 1174672844 | Red Cliff Band of Lake Superior Chippewa Indians | Ambulance | 37435 Sth 13, Bayfield, WI 54814 | 2007-01-10 |
| 1730257122 | Red Cliff Band of Lake Superior Chippewa | Pharmacist | 88385 Pike Road, Bayfield, WI 54814 | 2006-12-01 |
| 1568484764 | Janice K Wilber | Pharmacist | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-24 |
| 1730102203 | Barbara M Tellier | Pharmacist | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-25 |
| 1609898055 | Jacob P Geisler | Social Worker | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-24 |
| 1538181011 | Grace M Heitsch | Pediatrics | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-24 |
| 1811034390 | Bayfield Community Ambulance Service | Ambulance | 813 Washington Ave., Bayfield, WI 54814-0230 | 2007-01-31 |
| Find all providers in zip 54814 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609338623 | Jessica Keitz | Social Worker | 1327 Bayfield Pkwy, Suite A, Bayfield, CO 81122 | 2019-04-01 |
| 1386991305 | Mountain Meadows Counseling, LLC | Social Worker | 620 Trust Dr, Bayfield, CO 81122-9235 | 2012-08-08 |
| 1609898055 | Jacob P Geisler | Social Worker | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| 1710586219 | Megan Beckler | Social Worker | 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 | 2020-10-26 |
| 1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1841805033 | Alyssa Kress | Social Worker | 3805 Mount View Ave Apt 17, Weston, WI 54476-6449 | 2020-09-14 |
| 1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
| 1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
| 1609488634 | Megan Wrenn | Social Worker | 1211 County Road I, Hudson, WI 54016-6916 | 2020-08-20 |
| 1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
| 1275143521 | Sara Kay Zwieg | Social Worker | 851 Rogers St, Milton, WI 53563-1767 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
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| 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.