ESMERALDA RAWAT MSW, LCSW
NPI 1861896540
Social Worker - Clinical in Antigo, WI

Active since October 09, 2014PECOS Enrolled
1225 LANGLADE RD, ANTIGO, WI 54409(715) 627-6694 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2023, Nov 10, 2020 (2 updates tracked since 2020).

About Esmeralda Rawat Msw, Lcsw NPPES

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

ESMERALDA RAWAT MSW, LCSW (NPI 1861896540) is an individual clinical provider in Antigo, Wisconsin, licensed in Wisconsin (11153) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861896540
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameESMERALDA RAWATCredential: MSW, LCSW
Location Address1225 LANGLADE RDAntigo, WI 54409-2762
Mailing Address1225 Langlade RdAntigo, WI 54409-2762 · (715) 627-6694
Sole ProprietorNo
Enumeration DateOctober 9, 2014
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1861896540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 11153
Definition
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.
1225 LANGLADE RD, Antigo, WI 54409

Other Names 1

Other Name (5)Esmeralda Romero Hernandez

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Esmeralda Rawat Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Esmeralda Rawat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2400 MARSHALL ST STE A
Wausau, WI 54403
  • Reassigned Medicare billing, Wisconsin enrollment
  • 47 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
8201 MISH KO SWEN DRIVE
Crandon, WI 54520
  • Reassigned Medicare billing, Wisconsin enrollment
  • 31 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Clinic/Center (Multi-Specialty)
1225 LANGLADE RD
ANTIGO, WI 54409
Counselor (Professional)
1225 LANGLADE RD
ANTIGO, WI 54409
Counselor (Professional)
1225 LANGLADE RD
ANTIGO, WI 54409
Case Management
1225 LANGLADE RD
ANTIGO, WI 54409
Counselor (Professional)
1225 LANGLADE RD
ANTIGO, WI 54409
Clinic/Center (Multi-Specialty)
1225 LANGLADE RD
ANTIGO, WI 54409
Social Worker (Clinical)
1225 LANGLADE RD
ANTIGO, WI 54409
Case Management
1225 LANGLADE RD
ANTIGO, WI 54409

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 Esmeralda Rawat's NPI number?

The NPI number for Esmeralda Rawat is 1861896540. It was assigned to this individual provider in the NPPES registry on October 9, 2014. The provider is also known as Esmeralda Romero Hernandez.

Where is Esmeralda Rawat located?

Esmeralda Rawat practices at 1225 Langlade Rd, Antigo, WI 54409. The listed phone number is (715) 627-6694.

What is Esmeralda Rawat's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Esmeralda Rawat enrolled in Medicare?

Yes. Esmeralda Rawat is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Esmeralda Rawat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esmeralda Rawat reassigns Medicare benefits to 2 organizations: Human Services Board Serving North Central Health Care Facility (Wausau, WI) and Forest County Potawatomi Community (Crandon, 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 Esmeralda Rawat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Esmeralda Rawat accept?

Health plans from Aspirus Health Plan, HealthPartners and Security Health Plan list Esmeralda Rawat 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 Esmeralda Rawat was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.