MR. TED M PAGOAGA (NPI# 1780745430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780745430 |
| Entity Type | Individual |
| Full Name | MR. TED M PAGOAGA |
| Credential | MSW |
| Practice Address |
W18105 Hemlock Rd Wittenberg WI 54499-8647 |
| Mailing Address |
103 E Mckinley St Stoughton WI 53589-1624 |
| Practice Telephone | 7152532116 |
| Practice Fax Number | 7152533586 |
| Mailing Telephone | 6058733103 |
| Mailing Fax Number | 6088731999 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6524 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 4092550 | 05 |
| Street Address |
W18105 HEMLOCK RD |
| City | WITTENBERG |
| State | WI |
| Zip Code | 54499-8647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326113887 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | W18105 Hemlock Rd, Wittenberg, WI 54499-8647 | 2006-11-21 |
| 1851690937 | Shawne Nicole Judnic | Counselor | W18105 Hemlock Rd, Wittenberg, WI 54499-8647 | 2011-03-15 |
| 1154467413 | Steven Thomas Lechner | Counselor | W18105 Hemlock Rd, Wittenberg, WI 54499-8647 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746290 | Brittany Anderson | Occupational Therapist | 604 S Webb Street, Wittenberg, WI 54499 | 2017-05-10 |
| 1720478183 | Long Chiropractic Center Sc | Chiropractor | 406 South Howard Street, Wittenberg, WI 54499 | 2015-01-23 |
| 1790060952 | Wittenberg Fire Ambulance Protective Service District | Ambulance | 405 S. Webb St., Wittenberg, WI 54499 | 2011-10-19 |
| 1548334782 | Jeffrey D Below | Chiropractor | 406 S Howard St, Below Chiropractic Center Inc, Wittenberg, WI 54499 | 2006-11-20 |
| 1265400907 | Mark Shannon Milne | Physical Therapist | 105 N Genesee St, Wittenberg, WI 54499 | 2006-03-09 |
| 1659367688 | Roslyn Dee Mckay | Nurse Practitioner | 201 Liberty Drive, Marshfield Clinic-wittenberg Center, Wittenberg, WI 54499 | 2005-09-26 |
| 1851386171 | Village of Wittenberg Dba Wittenberg Area Ambulance Service | Clinic/Center | 405 South Webb Street, Wittenberg, WI 54499 | 2005-09-13 |
| 1770754921 | Bruce A Beversdorf | Dentist | 200 S Cherry St, Wittenberg, WI 54499 | 2008-03-17 |
| 1891871737 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 201 Liberty Drive, Wittenberg, WI 54499 | 2006-10-31 |
| 1003875444 | Joan D Ostermeier | Physical Therapist | 105 N Genesee St, Wittenberg, WI 54499 | 2006-03-23 |
| Find all providers in zip 54499 | ||||
| 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 | WITTENBERG |
| Zip Code | 54499 |
Please comment or provide details below to improve the information on MR. TED M PAGOAGA.
| 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.