STEPHANIE HURLBURT (NPI# 1396397337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396397337 |
| Entity Type | Individual |
| Full Name | STEPHANIE HURLBURT |
| Practice Address |
4076 Kothlow Ave Menomonie WI 54751-3090 |
| Mailing Address |
6126 Garrett Ln Rockford IL 61107-5230 |
| Practice Telephone | 7152354537 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
4076 KOTHLOW AVE |
| City | MENOMONIE |
| State | WI |
| Zip Code | 54751-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598899353 | Arbor Place, Inc. | Clinic/Center | 4076 Kothlow Ave, Menomonie, WI 54751 | 2007-03-15 |
| 1730712308 | Jacob Bloom | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2020-02-21 |
| 1720625049 | Tara L Thiele | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2019-12-05 |
| 1649820168 | Elyse Henke | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2019-09-17 |
| 1801395033 | Joshua Paul Bleskachek | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2018-02-02 |
| 1871013458 | Mackenzie Ann Deffenbaugh | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2017-06-23 |
| 1013458173 | Arbor Place, Inc. | Counselor | 4076 Kothlow Ave, Menomonie, WI 54751-3090 | 2017-03-09 |
| 1497889026 | Arbor Place, Inc. | Clinic/Center | 4076 Kothlow Ave, Menomonie, WI 54751 | 2007-03-15 |
| 1073647665 | Arbor Place, Inc. | Substance Abuse Rehabilitation Facility | 4076 Kothlow Ave, Menomonie, WI 54751 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840569 | Ashley Friedenfels | Physical Medicine & Rehabilitation | E4486 290th Avenue, Menomonie, WI 54751 | 2017-09-18 |
| 1215307814 | David Calvin Reimann | Hearing Instrument Specialist | E4584 483rd Avenue, Menomonie, WI 54751 | 2015-09-25 |
| 1790128627 | County of Dunn | Skilled Nursing Facility | 651 Howison Circle, Menominie, WI 54751 | 2013-04-10 |
| 1043653983 | County of Dunn | Skilled Nursing Facility | 658 Howison Circle, Menomonie, WI 54751 | 2013-04-10 |
| 1447519236 | Gentle Dental Care LLC | Dentist | 1813 Wilson St., Menomonie, WI 54751 | 2012-05-14 |
| 1386960193 | Kilimanjaro LLC | Non-emergency Medical Transport (VAN) | 1222 14th Ave E, Menomonie, WI 54751 | 2010-04-19 |
| 1275709180 | Dianne Marie Bennett | Counselor | 1916 2nd St W, Menomonie, WI 54751 | 2008-05-01 |
| 1417136201 | David Gary Hackbarth | Chiropractor | 3120 Schneider Ave E, Suite #5, Menomonie, WI 54751 | 2007-10-29 |
| 1306057336 | Tonia D. Behling | Dental Hygienist | 3375 Kothlow Ave., Suite 40, Menomonie, WI 54751 | 2007-05-24 |
| 1295956282 | Danny Roger Wood | Dentist | 1603 Stout Rd, Menomonie, WI 54751 | 2007-05-01 |
| Find all providers in zip 54751 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497105498 | Leah Ann Waldie | Social Worker | 3001 Us Hwy 12, E, Suite 160, Menomonie, WI 54751-3045 | 2016-06-21 |
| 1932382751 | Michael Richard Fischer | Social Worker | 402 Technology Dr E, Menomonie, WI 54751-2370 | 2007-12-14 |
| 1710549183 | Shae Marie Havner | Social Worker | 1421 Broadway St N Ste 114b, Menomonie, WI 54751-4728 | 2019-07-05 |
| 1073915088 | Gary Johnson | Social Worker | 406 Technology Dr E, Suite C, Menomonie, WI 54751-2767 | 2014-09-22 |
| 1962821082 | Angela M Okon | Social Worker | 3001 Us Hwy 12 E, Ste 160, Menomonie, WI 54751-3045 | 2014-04-16 |
| 1487831228 | D. Gail Haemmerle | Social Worker | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2008-01-23 |
| 1871668723 | Andrew J Wolf | Social Worker | 408 Red Cedar St, Aurora Communtiy Counseling Employee Support & Services, Menomonie, WI 54751 | 2006-11-22 |
| 1023199288 | Todd Joseph Braun | Social Worker | 808 Main St E, Menomonie, WI 54751-2735 | 2006-10-17 |
| 1376639641 | Joanne Alice Gust | Social Worker | 808 Main St E, Menomonie, WI 54751-2735 | 2006-10-05 |
| 1437245776 | Ruth Ellen Huske | Social Worker | 808 Main St E, Menomonie, WI 54751-2735 | 2006-10-05 |
| Find all providers in MENOMONIE | ||||
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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.