FAMILY SERVICES OF NORTHEAST WISCONSIN, INC. (NPI# 1649397654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649397654 |
Entity Type | Organization |
Organization Name | FAMILY SERVICES OF NORTHEAST WISCONSIN, INC. |
Other Organization Name | FAMILY SERVICES - FOX VALLEY DAY TREATMENT |
Practice Address |
1500 W Rogers Ave Appleton WI 54914-5007 |
Mailing Address |
300 Crooks St Green Bay WI 54301-4527 |
Practice Telephone | 9209546804 |
Practice Fax Number | 9209546806 |
Mailing Telephone | 9204366800 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | THOMAS MARTIN (PRESIDENT-CEO) |
Authorized Official Telephone | 9204366800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251B00000X | Case Management | 2561 | WI | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 43008200 | 05 |
Other Name | Type Code |
---|---|
Family Services - Fox Valley Day Treatment | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225155245 | Family Services of Northeast Wisconsin, Inc. | Psychiatric Residential Treatment Facility | 3430 Spirit Way, Green Bay, WI 54304-5687 | 2007-03-23 |
1376724765 | Family Services of Northeast Wisconsin, Inc. | Community/Behavioral Health | 300 Crooks St, Green Bay, WI 54301-4527 | 2007-11-14 |
Street Address |
1500 W ROGERS AVE |
City | APPLETON |
State | WI |
Zip Code | 54914-5007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871772699 | Lori Werres | Psychoanalyst | 1500 W Rogers Ave, Appleton, WI 54914-5007 | 2007-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
Find all providers in zip 54914 |
Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255714812 | Freedomwealthmanagement | Case Management | 4813 Canvasback Cir, Appleton, WI 54913-8004 | 2015-07-01 |
1881919603 | Outagamie County Department of Health and Human Services | Case Management | 320 S Walnut St, Appleton, WI 54911-5918 | 2010-04-05 |
1629138995 | County of Outagamie | Case Management | 320 S. Walnut St., Appleton, WI 54911-5918 | 2006-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
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1891301891 | Just Me & Mommy Family Services LLC | Case Management | 6830 W Villard Ave Ste 308, Milwaukee, WI 53218-3968 | 2020-09-16 |
1407467350 | Miranda Marie Porter | Case Management | 4760 N 22nd St, Milwaukee, WI 53209-6335 | 2020-08-13 |
1801407051 | Bundle of Love Prenatal LLC | Case Management | 5406 N Lovers Lane Rd, Milwaukee, WI 53225-3006 | 2020-08-12 |
1174133326 | Sharing Love Corporation | Case Management | 2200 N 12th St, Milwaukee, WI 53205-1320 | 2020-08-03 |
1851901268 | Community Work Services, Inc. | Case Management | 1402 Greenway Cross Ste 200, Madison, WI 53713-3181 | 2020-08-01 |
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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.