Individual provider Active NPI

Charles J Trimberger, MSW,LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1053523779
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
709-123 Issued in WI
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

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39589900MedicaidWI

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

OrganizationSpecialtyStatusNew patients
Family Services of Waukesha Past Accepting new patients
Family Service Agency of Waukesha County Inc Past Accepting new patients
Family Counseling Center, LLC PastSince Mar 1, 2011 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.

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.

Verify at the official NPI Registry.