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CLARISSA DETRIE MSW
NPI 1073759577
Counselor - Mental Health in Green Bay, WI

Active since January 05, 2009PECOS EnrolledAccepts Medicare Assignment
300 CROOKS ST, GREEN BAY, WI 54301(920) 436-6800(920) 437-3540 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clarissa Detrie Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA DETRIE MSW (NPI 1073759577) is an individual mental health provider in Green Bay, Wisconsin and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073759577
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCLARISSA DETRIECredential: MSW
Location Address300 CROOKS STGreen Bay, WI 54301-4527
Mailing Address300 Crooks StGreen Bay, WI 54301-4527 · (920) 436-6800 · Fax (920) 437-3540
Phone(920) 436-6800
Fax(920) 437-3540
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 5, 2009
Last NPPES UpdateDecember 15, 2014
✔ NPI 1073759577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
300 CROOKS ST, Green Bay, WI 54301
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Other Names 1

Former Name (1)Clarissa Winney Msw

Other Identifiers 1

Medicaid1073759577WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clarissa Detrie Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254504541
PECOS Enrollment IDI20111102000191
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Clarissa Detrie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Services Of Northeast Wisconsin Inc
Same address
Mental Health (Including Community Mental Health Center)
300 CROOKS ST
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 16 clinicians in this Medicare group
NPI 1467453167 (920) 436-6800
Jb Behavioral Health, LLC
4.6 mi
Adult Mental Health
301 N BROADWAY STE 110
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 9 clinicians in this Medicare group
NPI 1164148847 (920) 425-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAYNE E VON DER LINDEN MSW
Social Worker (Clinical)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
BRENDA J MALCOREQ BS
Social Worker
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
REBECCA MARIE BARRETT MSW APSW
Social Worker (Clinical)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
KATHRYN HERMAN
Counselor (Professional)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
MADYSEN J THAYSE MSW, APSW
Social Worker (Clinical)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
JENNIFER HARRIS-FORBES
Counselor (Professional)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-4360
MICHELLE GAUGER MSE, LPC, SAC
Counselor (Addiction (Substance Use Disorder))
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800
AMY VANDENHEUVEL
Counselor (Mental Health)
300 CROOKS ST
GREEN BAY, WI 54301
Brown County (920) 436-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarissa Detrie's NPI number?

The NPI number for Clarissa Detrie is 1073759577. It was assigned to this individual provider in the NPPES registry on January 5, 2009. The provider is also known as Clarissa Winney Msw.

Where is Clarissa Detrie located?

Clarissa Detrie practices at 300 Crooks St, Green Bay, WI 54301. The listed phone number is (920) 436-6800.

What is Clarissa Detrie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Clarissa Detrie enrolled in Medicare?

Yes. Clarissa Detrie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Clarissa Detrie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarissa Detrie reassigns Medicare benefits to 2 organizations: Family Services Of Northeast Wisconsin Inc (Green Bay, WI) and Jb Behavioral Health, LLC (De Pere, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarissa Detrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clarissa Detrie accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners and 2 other insurers list Clarissa Detrie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarissa Detrie was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.