CASSANDRA J MERBOTH (NPI# 1891286282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891286282 |
| Entity Type | Individual |
| Full Name | CASSANDRA J MERBOTH |
| Practice Address |
1320 Mendota St Madison WI 53714-1096 |
| Mailing Address |
25 Kessel Ct Madison WI 53711-6227 |
| Practice Telephone | 6082802700 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1320 MENDOTA ST |
| City | MADISON |
| State | WI |
| Zip Code | 53714-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730107418 | Henning Von Bauer | Social Worker | 1320 Mendota St, Ste 106 Props, Madison, WI 53714-1096 | 2006-07-18 |
| 1689179186 | Lisa Marie Hoffman | Social Worker | 1320 Mendota St, Madison, WI 53714-1096 | 2018-03-27 |
| 1508314915 | Carlos Ramos Ortolaza | Counselor | 1320 Mendota St, Madison, WI 53714-1096 | 2016-09-14 |
| 1639522162 | Brittany Kislow | Social Worker | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2016-07-20 |
| 1699138354 | Gretchen Patrisio | Social Worker | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2016-03-31 |
| 1194185538 | Ya Mee Swartz | Social Worker | 1320 Mendota St, Suite 120, Madison, WI 53714-1096 | 2016-02-27 |
| 1326406414 | Kaylin Ann Shampo | Counselor | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2016-02-03 |
| 1699131151 | Full Home Health Services LLC | Home Health | 1320 Mendota St, Suite 110, Madison, WI 53714-1096 | 2016-01-13 |
| 1316303688 | Genuine Personal Care Services | Skilled Nursing Facility | 1320 Mendota St, Suite 110, Madison, WI 53714-1096 | 2016-01-02 |
| 1689057564 | Kao Lee Yang | Social Worker | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2015-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069421 | Access Elevator, Inc. | Contractor | 4229 Argosy Ct., Suite 2b, Madison, WI 53714 | 2020-03-26 |
| 1629426762 | Bethany Domoto | Occupational Therapist | 210 Dempsey Rd, Madison, WI 53714 | 2016-05-31 |
| 1871984989 | Warren Family Dental | Dentist | 4226 Milwaukee Street, Madison, WI 53714 | 2015-02-11 |
| 1316103567 | Heather Marie Kramer | Occupational Therapy Assistant | 5755 Burke Rd, Madison, WI 53714 | 2008-08-06 |
| 1841402906 | Genesis Eldercare Rehab Services | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2007-05-03 |
| 1902928872 | Christine Haag | Dentist | 758 Corporate Dr., Suite 201, Madison, WI 53714 | 2007-04-04 |
| 1366958522 | Dana Johanek | Acupuncturist | 4222 Milwaukee St, 17, Madison, WI 53714 | 2017-12-22 |
| 1003338575 | Lacrima M Goldberg | Dentist | 826 Atlas Ave, Madison, WI 53714 | 2017-07-17 |
| 1497127120 | Kimberly Ann Klein | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2015-10-21 |
| 1437310604 | Pediatric Dental Specialists of Madison LLC | Dentist | 49 N Walbridge Ave, Madison, WI 53714 | 2008-06-20 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
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| 1275132946 | Alice M Franks-gray | Case Manager/Care Coordinator | Esu/bayside/crisis Stabilization, 702 W Main Street, Madison, WI 53715-1424 | 2020-10-22 |
| 1073129391 | John Raby | Case Manager/Care Coordinator | 471 Main St Ste B, Madison, WV 25130-1223 | 2020-09-22 |
| 1588272488 | Samantha Rose Vaught | Case Manager/Care Coordinator | 157 Greenwood Dr, Madison, AL 35758-1403 | 2020-07-16 |
| 1598381915 | Errica Braun | Case Manager/Care Coordinator | 4 N Hancock St, Madison, WI 53703-2802 | 2020-06-22 |
| 1093350563 | The Hmong Institute Incorporated | Case Manager/Care Coordinator | 4402 Femrite Dr, Madison, WI 53716-4122 | 2019-11-08 |
| 1548818776 | James Martin | Case Manager/Care Coordinator | 315 Sw Jeanette Cir, Madison, FL 32340-1155 | 2019-08-30 |
| 1275185522 | Selina Lor | Case Manager/Care Coordinator | 17 Daystar Ct Apt D, Madison, WI 53704-7354 | 2019-07-16 |
| 1154897163 | Avenues To Community Inc | Case Manager/Care Coordinator | 579 Donofrio Dr Ste 208, Madison, WI 53719-2839 | 2018-10-17 |
| 1023518214 | Anthony Dwain Pettus Jr. | Case Manager/Care Coordinator | 100 Spenryn Dr, Madison, AL 35758-1890 | 2018-02-14 |
| 1720507585 | Heather Marie Forney | Case Manager/Care Coordinator | 208 E Olin Ave, Madison, WI 53713-1434 | 2017-09-13 |
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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.