Active NPI
Marilyn Ann Metz, MSW
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1083810634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 109-123
- Practice address
- 3953 N 76TH St
Suite 305
Milwaukee, WI 53222-3059 - Phone
- (414) 616-2292
- Fax
- (414) 616-2296
- NPI assigned
- Jun 21, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 109-123 | WI | Primary |
Addresses
Primary practice location
3953 N 76TH St
Suite 305
Milwaukee, WI 53222-3059
Mailing address
6540 W English Meadows Dr
J203
Greenfield, WI 53220-5405
Phone (414) 727-0955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39274900 | 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 |
|---|---|---|---|
| 109-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1083810634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6540 W ENGLISH MEADOWS DR",
"address_2": "J203",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532205405",
"telephone_number": "414-727-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3953 N 76TH ST",
"address_2": "SUITE 305",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532223059",
"telephone_number": "414-616-2292",
"fax_number": "414-616-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZ",
"first_name": "MARILYN",
"middle_name": "ANN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "109-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39274900",
"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.