Douglas Meske, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2098123 Issued in WI

Practice address

2607 N Grandview Blvd Ste 110
Waukesha, WI 53188

Phone

(262) 313-8339

Fax

(262) 910-1653

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• American Behavioral Clinics, SC

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1144313859
  NPD (past)
• Breathe Wellness & Prenatal Care LLC

  • Case Management Agency
  • Waukesha, WI
  • NPI 1619739422
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1104975341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD STE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881690",
            "telephone_number": "262-313-8339",
            "fax_number": "262-910-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD STE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "262-313-8339",
            "fax_number": "262-910-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESKE",
        "first_name": "DOUGLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2098123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39592600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle D Menting, OTR
• Mark Meranda, RPH
• Debra Merkt, OT
• Kim Kathryn Merrick, RDH
• Kendra Merrifield
• Michelle Nicole Meske, AGACNP
• Courtney C Messplay
• Cheryl Metcalf, LPN
• Erin Grace Metrick
• Sherry Joanne Meurer, PT

• Clinical Social Worker in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.