Dawn M Brubakken, LCSW, SC
Individual provider Active NPI Clinical Social Worker · Middleton, WI
NPI 1023313657 · NPPES record last updated Jan 12, 2011
Key facts
- NPI
- 1023313657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 1078-123 (WI)
- Practice address
- 6300 University Ave
Ste 125
Middleton, WI 53562-3463 - Phone
- (608) 237-8000
- Fax
- (608) 237-8005
- NPI assigned
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- McPst Management Corporation
Practice addresses (Care Compare)
6300 University Ave
Suite 125
Middleton, WI 53562-3486
Phone (608) 237-8000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141113001118 | WI | Practitioner - Clinical Social Worker | 1951523661 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPst Management Corporation | Current |
Accepting new patients |
Locations
901 Deming Way
Ste 302
Madison, WI 53717
6300 University Ave
Ste 125
Middleton, WI 53562
Phone (608) 237-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1078-123 | WI | Yes |
Addresses
Primary practice location
6300 University Ave
Ste 125
Middleton, WI 53562-3463
Mailing address
6300 University Ave
Ste 125
Middleton, WI 53562-3463
Phone (608) 237-8000
Other providers in Middleton, WI
- Bonita Jo Bromley
- Brookdale Senior Living Communities, Inc.
- Brookdale Senior Living Communities, Inc.
- Heidi Quartier Brown
- Thomas H. Browning
- Ann Carol Bruhn
- Paige Brunett
- Lauren A Brunke
- David Bryce
- Misty Budzinski
All providers in Middleton, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.