MS. DOROTHY A FONSTAD MSE LCSW CADC 111 NPI 1639246382

NPI Information

NPI: 1639246382
Provider Name: MS. DOROTHY A FONSTAD, MSE, LCSW, CADC 111
Classification: Social Worker - 104100000X
Entity Type: Individual
Address: 711 N LYNNDALE DR STE 1A
APPLETON, WI
ZIP 54914
Phone: (920) 560-4525

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NPI Details

MS. Dorothy A Fonstad, MSE, LCSW, CADC 111 is a social worker in Appleton, WI. The provider is 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. MS. Dorothy A Fonstad, MSE, LCSW, CADC 111 NPI is 1639246382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

711 N LYNNDALE DR STE 1A
APPLETON, WI
ZIP 54914-078
Phone: (920) 560-4525
Fax: (920) 560-6618

The enumeration date for this NPI number is 11/29/2006 and was last updated on 2/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1554	WISCONSIN	No
2	104100000X	Social Worker		3182	WISCONSIN	Yes
3	101Y00000X	Counselor		3182-123	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39787600	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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