Active NPI
Allyssa Marie Jones, LCSW
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1023554292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9768-123
- Practice address
- 620 S 76TH St
Milwaukee, WI 53214-1599 - Phone
- (414) 453-1400
- Fax
- (414) 453-2538
- NPI assigned
- Jan 12, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9768-123 | WI | Primary |
Addresses
Primary practice location
620 S 76TH St
Milwaukee, WI 53214-1599
Mailing address
620 S 76TH St
Milwaukee, WI 53214-1599
Phone (414) 453-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023554292 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9768-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Lutheran Child & Family Service | Past | Accepting new patients | |
| Wisconsin Lutheran Child and Family Service Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Milwaukee, WI
- NPI 1881021277
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Germantown, WI
- NPI 1083786628
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1023554292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 S 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532141599",
"telephone_number": "414-453-1400",
"fax_number": "414-453-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532141599",
"telephone_number": "414-453-1400",
"fax_number": "414-453-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ALLYSSA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9768-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023554292",
"state": "WI"
}
],
"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 Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.