Individual provider Active NPI

Lori A Runge, MSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1093097032
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1984-121 Issued in WI
Practice address
2625 N Weil St
Milwaukee, WI 53212-3060
Phone
(414) 962-1200
Fax
(414) 962-2605
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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 1984-121 WI Primary

Addresses

Primary practice location

2625 N Weil St
Milwaukee, WI 53212-3060

Mailing address

2625 N Weil St
Milwaukee, WI 53212-3060
Phone (414) 962-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714001423 WI Practitioner - Clinical Social Worker 3779098363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

1311 N 6TH St
Milwaukee, WI 53212-4006
Phone (414) 223-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1984-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc CurrentSince May 7, 2025 Accepting new patients
Vivent Health Inc Current Accepting new patients

Locations

1212 57th St
Kenosha, WI 53140
Phone (414) 225-1568

1311 N 6th St
Milwaukee, WI 53212
Phone (414) 223-6800

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

Organizations & group practices 2

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1093097032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N WEIL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123060",
            "telephone_number": "414-962-1200",
            "fax_number": "414-962-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N WEIL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123060",
            "telephone_number": "414-962-1200",
            "fax_number": "414-962-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1984-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.