MS. SHELLY ROSE STATZ LCSW
NPI 1235121260
Social Worker - Clinical in Hudson, WI
NPI Status: Active since August 16, 2005
Contact Information
2910 ENLOE ST
HUDSON, WI
ZIP 54016
Phone: (715) 381-5437
Fax: (715) 381-5438
- Individual
- Female
- Social Worker
- Clinical
About SHELLY STATZ
This page provides the complete NPI Profile along with additional information for Shelly Statz, a provider established in Hudson, Wisconsin with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1235121260 assigned on August 2005. The practitioner's primary taxonomy code is 1041C0700X with license number 7021-123 (WI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1235121260
- Provider Name
- MS. SHELLY ROSE STATZ LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2910 ENLOE ST HUDSON, WI 54016
- Location Phone
- (715) 381-5437
- Location Fax
- (715) 381-5438
- Mailing Address
- 2925 MONDOVI RD EAU CLAIRE, WI 54701
- Mailing Phone
- (715) 832-0238
- Mailing Fax
- (715) 381-5438
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-16-2005
- Last Update Date
- 06-06-2016
- Code Navigator
A clinical social worker like Shelly Statz is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 7021-123
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114321498 | OTHER (01) | CAQH |
Reviews for MS. SHELLY ROSE STATZ LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 1 | 2 | 1 | 2 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 2 | 2 | 2 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 2 + 2 + 2 + 2 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1235121260 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376659201 | RANDI L. ERICKSON Organization | Psychologist | 2910 ENLOE ST SUITE 104 HUDSON, WI 54016 (715) 377-0000 |
| 1689778748 | DR. RANDI L ERICKSON PSY D LP Individual | Psychologist | 2910 ENLOE ST HUDSON, WI 54016 (715) 377-0000 |
| 1124287032 | AMELIA L EVANS M.S., LPC Individual | Counselor (Professional) | 2910 ENLOE ST SUITE 104 HUDSON, WI 54016 (715) 377-0000 |
| 1710212394 | MRS. KRISTINE HEMAUER M.A., LSW Individual | Psychologist (Clinical) | 2910 ENLOE ST SUITE 104 HUDSON, WI 54016 (715) 377-0000 |
| 1851643332 | SHANNON ELIZABETH BARTLETT LPC Individual | Counselor (Professional) | 2910 ENLOE ST HUDSON, WI 54016 (715) 377-0000 |
| 1205130101 | MRS. LINDSAY KJOLSING SATHER LPC Individual | Counselor (Mental Health) | 2910 ENLOE ST SUITE 104 HUDSON, WI 54016 (715) 377-0000 |
| 1033660840 | RENEE L. VANNOCKER MS Individual | Counselor (Professional) | 2910 ENLOE ST STE 100 HUDSON, WI 54016 (715) 381-5437 |
| 1528887080 | MAYA LYNN RYLAND Individual | Behavior Technician | 2910 ENLOE ST HUDSON, WI 54016 (715) 808-8555 |
| 1821886714 | ANGELENA CODY Individual | Behavior Technician | 2910 ENLOE ST HUDSON, WI 54016 (715) 808-8555 |
| 1346139359 | AYVA SCHABO Individual | Behavior Technician | 2910 ENLOE ST HUDSON, WI 54016 (715) 808-8555 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235121260, enumerated in the NPI registry as an "individual" on August 16, 2005
The provider is located at 2910 Enloe St Hudson, Wi 54016 and the phone number is (715) 381-5437
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 16, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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