ANN E VAN ATTA (MSW) – Clinical Social Worker, NPI 1629073028

ANN E VAN ATTA (MSW) is a healthcare provider. based in La crosse, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 2975 (WI). The NPI Number for ANN E VAN ATTA (MSW) is 1629073028

Main info

Female
48 Years Of Experience
Accepts Medicare Assignment
Name
ANN E VAN ATTA (MSW)
NPI
1629073028
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
14 June 2005
Last Update Date
23 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6087827300
Graduation Year
1978 (48 years ago)
PAC ID
1153516596
Group Practice PAC ID
2163331414
Professional Enrollment ID
I20101111000713
Address ID
WI546015467LA1910XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,446 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for ANN E VAN ATTA (MSW)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • 123, 16th Avenue South, Onalaska, La Crosse County, Wisconsin, 54650, United States

    ONALASKA, WI 546503109

    Phone: (608) 796-8646

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101111000713IClinical Social WorkerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes20030$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163331414View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Physician AssistantWI
-WI
-WI
Family PracticeWI
Nurse PractitionerWI
-IL
-WI
Gastroenterology, Internal MedicineWI

Reviews

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Frequently asked questions

Can I cross-check ANN E VAN ATTA (MSW) using NPI 1629073028?
NPI 1629073028 belongs to ANN E VAN ATTA (MSW); compare other details if you need extra assurance.
Active or inactive — what applies to ANN E VAN ATTA (MSW)?
You should see ANN E VAN ATTA (MSW) as active in CMS-hosted NPPES data.
What expertise is attributed to ANN E VAN ATTA (MSW)?
ANN E VAN ATTA (MSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANN E VAN ATTA (MSW)?
Travel planning: use La Crosse, Wisconsin as the reference point for ANN E VAN ATTA (MSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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