Active NPI
Kerry Kathleen Marley, APSW
- Social Worker
- Milwaukee, WI
National Provider Identifier
1083247191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 131342-121
- Practice address
- 1109A S 109TH St
Milwaukee, WI 53214-2310 - Phone
- (414) 721-6101
- NPI assigned
- Feb 17, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 131342-121 | WI | Primary |
Addresses
Primary practice location
1109A S 109TH St
Milwaukee, WI 53214-2310
Mailing address
1109A S 109TH St
West Allis, WI 53214-2310
Phone (414) 331-8023
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 |
|---|---|---|---|
| 131342-121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Power for Change, LLC | 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)
- Green Bay, WI
- NPI 1124322284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1083247191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109A S 109TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532142310",
"telephone_number": "414-331-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109A S 109TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532142310",
"telephone_number": "414-721-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLEY",
"first_name": "KERRY",
"middle_name": "KATHLEEN",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "131342-121",
"primary": true
}
],
"identifiers": [],
"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 Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.