Thomas G Mlodzik, MSW, LCSW, LMFT, CAD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6995-123 Issued in WI

Practice address

2015 E Newport Ave
Suite 404
Milwaukee, WI 53211-2984

Phone

(414) 961-5520

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Restore Counseling and Recovery IncGroup PAC ID 0446497598, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23541/brand/1/csg/1/fhir/r4

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.

• Restore Counseling & Recovery, Inc.

  • Clinical Social Worker
  • Loves Park, IL
  • NPI 1588909923

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Columbia St. Mary'S Hospital Milwaukee Inc

  • Psychiatric Hospital Unit
  • Mequon, WI
  • NPI 1417600909
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1013017169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 404",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-961-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 404",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-961-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLODZIK",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "MSW, LCSW, LMFT, CAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6995-123",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "555-124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADCIII",
            "identifier": "12418",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39757800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "6995-123",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "555-124",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mke Health Solutions LLC
• Mke Mindbody Wellness Inc.
• Mke Next Level Transportation LLC
• Oliwia Wiktoria Mlodawska, MD
• Anna M Mlodik, RN
• MMJ Transportation
• MMTS LLC
• MNC, Inc.
• Mary Elizabeth Moat, RN, NP
• Mobile Care Medical Health Services, LLC

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, 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 Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.