Lisa Wentworth-Rohr, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3069123 Issued in WI

Practice address

11121 W North Ave
Suite 220
Wauwatosa, WI 53226-2233

Phone

(262) 780-9788

Fax

(414) 443-2719

NPI assigned

Aug 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Radhe Rohr Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Grove Clinic, SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wauwatosa, WI
  • NPI 1518167477
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214092800000",
    "number": "1003924598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 W NORTH AVE",
            "address_2": "SUITE 220",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262233",
            "telephone_number": "262-780-9788",
            "fax_number": "414-443-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 W NORTH AVE",
            "address_2": "SUITE 220",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262233",
            "telephone_number": "262-780-9788",
            "fax_number": "414-443-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH-ROHR",
        "first_name": "LISA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2008-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3069123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43579900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RADHE",
            "last_name": "ROHR",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Weidner, D.C.
• Krista M Wein, MOTR/L
• Wellness for the Body, LLC
• Theodore Eldon Weltzin, MD
• Cheryl Wendt, CPNP
• Julie Ann Werla, MASSAGE THERAPIST
• Sarah Wesley
• West Grove Clinic, SC
• Wesley West Ortiz, MD
• Wheaton Franciscan Healthcare

• Clinical Social Worker in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.