Active NPI
Charles J Trimberger, MSW,LCSW
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1053523779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 709-123
- Practice address
- 3970 N Oakland Ave
Suite 502
Milwaukee, WI 53211-2265 - Phone
- (414) 332-9096
- Fax
- (414) 332-8596
- NPI assigned
- May 4, 2007
- Sex
- Male
- 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 | 709-123 | WI | Primary |
Addresses
Primary practice location
3970 N Oakland Ave
Suite 502
Milwaukee, WI 53211-2265
Mailing address
8112 W Bluemound Rd
Suite 106
Wauwatosa, WI 53213-3356
Phone (414) 332-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39589900 | 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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services of Waukesha | Past | Accepting new patients | |
| Family Service Agency of Waukesha County Inc | Past | Accepting new patients | |
| Family Counseling Center, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Wauwatosa, WI
- NPI 1306095823
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukesha, WI
- NPI 1568404671
-
- Community/Behavioral Health Agency
- Waukesha, WI
- NPI 1265677884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1053523779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8112 W BLUEMOUND RD",
"address_2": "SUITE 106",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532133356",
"telephone_number": "414-332-0650",
"fax_number": "414-431-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 N OAKLAND AVE",
"address_2": "SUITE 502",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532112265",
"telephone_number": "414-332-9096",
"fax_number": "414-332-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMBERGER",
"first_name": "CHARLES",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MSW,LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "709-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39589900",
"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 Jul 9, 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.