Active NPI
Ann C. Neeb, LCSW
- Clinical Social Worker
- Oconomowoc, WI
National Provider Identifier
1043221591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 683-123
- Practice address
- 119 A South Silver Lake St.
Oconomowoc, WI 53066 - Phone
- (262) 567-4455
- NPI assigned
- Aug 10, 2006
- 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 | 683-123 | WI | Primary |
Addresses
Primary practice location
119 A South Silver Lake St.
Oconomowoc, WI 53066
Mailing address
N48W34100 Jaeckles Dr
Nashotah, WI 53058-9631
Phone (262) 567-7713
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 |
|---|---|---|---|
| 683-123 | WI | MD | Clinical Social Worker |
| 683 | WI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Agency of Waukesha County Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukesha, WI
- NPI 1568404671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043221591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N48W34100 JAECKLES DR",
"city": "NASHOTAH",
"state": "WI",
"postal_code": "530589631",
"telephone_number": "262-567-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 A SOUTH SILVER LAKE ST.",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "53066",
"telephone_number": "262-567-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEB",
"first_name": "ANN",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "683-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.