Active NPI
Josuane Marie Duckworth, M.S., N.C.S.P.
- School Psychologist
- Milwaukee, WI
National Provider Identifier
1023287216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 62
- Practice address
- 5757 W Oklahoma Ave
Suite 203
Milwaukee, WI 53219-4303 - Phone
- (414) 431-6400
- Fax
- (414) 431-6401
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 62 | WI | Primary |
Addresses
Primary practice location
5757 W Oklahoma Ave
Suite 203
Milwaukee, WI 53219-4303
Mailing address
5757 W Oklahoma Ave
Suite 203
Milwaukee, WI 53219-4303
Phone (414) 431-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62 | WI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1023287216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 W OKLAHOMA AVE",
"address_2": "SUITE 203",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532194303",
"telephone_number": "414-431-6400",
"fax_number": "414-431-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 W OKLAHOMA AVE",
"address_2": "SUITE 203",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532194303",
"telephone_number": "414-431-6400",
"fax_number": "414-431-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCKWORTH",
"first_name": "JOSUANE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S., N.C.S.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WI",
"license": "62",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.