AUDRA A EGGUM (NPI# 1457566689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457566689 |
| Entity Type | Individual |
| Full Name | AUDRA A EGGUM |
| Credential | LCSW |
| Practice Address |
140 W Main St Suite A Winneconne WI 54986-9409 |
| Mailing Address |
Po Box 486 140 W Main Winneconne WI 54986-0486 |
| Practice Telephone | 9205824000 |
| Mailing Telephone | 9205824000 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7281-123 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1556-121 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40923500 | 05 |
| Street Address |
140 W MAIN ST SUITE A |
| City | WINNECONNE |
| State | WI |
| Zip Code | 54986-9409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346658903 | Winneconne Chiropractic and Sports Rehab LLC | Chiropractor | 238 W Main Street, Winneconne, WI 54986 | 2014-07-28 |
| 1588770671 | Timothy Owen Mcginnis | Chiropractor | 11 N 6th Ave, Winneconne, WI 54986 | 2006-08-22 |
| 1972942175 | Kimberly Ann Lewis | Counselor | 140 W Main Street, The Growing Tree, Winneconne, WI 54986 | 2013-06-20 |
| 1619278819 | Alexandra Kellogg | Chiropractor | 238 W Main St, Winneconne, WI 54986 | 2010-11-04 |
| 1013174465 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 916 E Main St, Winneconne, WI 54986 | 2008-05-21 |
| 1326242496 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6085 Harbour View Dr, Winneconne, WI 54986-8656 | 2007-06-13 |
| 1295262772 | Evelyn Lauren Andersen | Registered Nurse | 6085 Harbour View Dr, Winneconne, WI 54986-8656 | 2017-05-16 |
| 1336772730 | Luke William Berglund | Student in an Organized Health Care Education/Training Program | 1132 Aster Ln, Winneconne, WI 54986-9166 | 2020-02-14 |
| 1376817163 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 946 E Main St., Winneconne, WI 54986-9396 | 2012-02-27 |
| 1144531757 | The Growing Tree Counseling & Wellness | Counselor | 140 W Main St Ste A, Winneconne, WI 54986-9409 | 2010-06-29 |
| Find all providers in zip 54986 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | WINNECONNE |
| Zip Code | 54986 |
Please comment or provide details below to improve the information on AUDRA A EGGUM.
| 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.