Active NPI
Susan K. Walsh, LCSW
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1093798498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2850-123
- Practice address
- 2021 N 60TH St
Milwaukee, WI 53208-1641 - Phone
- (414) 771-2881
- Fax
- (414) 771-1674
- NPI assigned
- Nov 21, 2005
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2850-123 | WI | Primary |
Addresses
Primary practice location
2021 N 60TH St
Milwaukee, WI 53208-1641
Mailing address
800 Wisconsin Ave
Racine, WI 53403-1526
Phone (262) 637-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39677500 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Wisconsin School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2021 N 60TH St
Milwaukee, WI 53208-1641
Phone (414) 771-2881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2850 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of the Archdiocese of Milwaukee Inc | Current | Accepting new patients | |
| Catholic Charities of the Archdiocese of Milwaukee Inc | Clinical | Current | Accepting new patients |
| Catholic Charities of the Archdiocese of Milwaukee Inc | Current | Accepting new patients | |
| Catholic Charities of the Archdiocese of Milwaukee Inc | Past | Accepting new patients |
Locations
2021 N 60th St
Milwaukee, WI 53208
Phone (414) 771-2881
800 Wisconsin Ave
Racine, WI 53403
Phone (262) 637-8888
Interoperability endpoints
- catholiccharities.susankwalsh@124096.advancedmd-direct.com
Organizations & group practices 4
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)
- Milwaukee, WI
- NPI 1285617670
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukesha, WI
- NPI 1053394841
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Racine, WI
- NPI 1619950011
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sheboygan, WI
- NPI 1013990407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1093798498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WISCONSIN AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534031526",
"telephone_number": "262-637-8888",
"fax_number": "262-637-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 N 60TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532081641",
"telephone_number": "414-771-2881",
"fax_number": "414-771-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "SUSAN",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "2850-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39677500",
"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 Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.