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Deactivated NPI 1184826604 Deactivated / Inactive NPI Female Practitioner

Ann M Dake , MSW

Social Worker • Shiocton, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ann Dake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2007
NPI Deactivation Date October 25, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Ann Dake, MSW was a registered Social Worker practicing in Shiocton, WI. Throughout an active medical career spanning 16 years, Ann Dake provided care at the practice location at N5367 MAYFLOWER RD until profile deactivation on 2023-10-25.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

N5367 Mayflower Rd

Shiocton, WI 541708934

Telephone 9202093633
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Shiocton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Shiocton, WI (1954 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
252 15 $249.70 $107.17

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License WI 7728123

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Jennifer Dudek , LPCIT

Counselor - Mental Health

NPI 1013375419
Nina Powell , LCSW

Social Worker - Clinical

NPI 1134663164

Licensed Clinical Social Worker

Kristeen Schreiber , MAC, NCC

Counselor - Professional

NPI 1144592882

MAC, National Certified Counselor

Michele Glime , LPCT

Counselor - Mental Health

NPI 1144650011
Tracy Wilke Kohlman , APSW

Social Worker - Clinical

NPI 1164752978
Rebecca Pein , MS, LPC, LPCC

Counselor - Professional

NPI 1245740992

Master of Science, Licensed Professional Counselor, Licensed Professional Clinical Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated October 25, 2023

Record deactivated on October 25, 2023

NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 27, 2017

Registered at 304 N BEECH ST, BLACK CREEK, WI 541069715 (Tel: 9202093633)

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Updated Business Mailing Address February 27, 2017

Registered at 304 N BEECH ST, BLACK CREEK, WI 541069715 (Tel: 9202093633)

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Provider Name / Credentials Updated February 27, 2017

Recorded as ANN GERRITS, MSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Social Worker (License #7728123 in WI)

NPI Profile Active November 17, 2014

NPI status registered as active in NPPES database

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Updated Practice Location November 17, 2014

Registered at N5367 MAYFLOWER RD, SHIOCTON, WI 541708934 (Tel: 9202093633)

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Updated Business Mailing Address November 17, 2014

Registered at 304 N BEECH ST, BLACK CREEK, WI 541069715 (Tel: 9202093633)

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Provider Name / Credentials Updated November 17, 2014

Recorded as ANN DAKE, MSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2014

Social Worker (License #7728123 in WI)

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Initial NPI Registration & Enumeration June 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184826604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2007
Last Update: November 17, 2014
Deactivation Date: October 25, 2023

Mailing Address

304 N Beech St

Black Creek, WI 541069715

Phone: 9202093633

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.