Individual provider Active NPI

Daniel Carlin, APSW

  • Social Worker
  • West Allis, WI
National Provider Identifier
1134539943
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
129312-121 Issued in WI
Practice address
1212 S 70TH St
West Allis, WI 53214-3105
Phone
(414) 902-1500
NPI assigned
May 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 129312-121 WI Primary

Addresses

Primary practice location

1212 S 70TH St
West Allis, WI 53214-3105

Mailing address

1212 S 70TH St
West Allis, WI 53214-3105
Phone (414) 902-1500

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
I20240321001029 WI Practitioner - Clinical Social Worker 3173960598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3800 N Mayfair Rd
Wauwatosa, WI 53222-2213
Phone (414) 536-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
129312-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Counseling and Family Services of Wisconsin Inc Social Worker CurrentSince Feb 6, 2024 Accepting new patients

Locations

324 S Andrews St
Shawano, WI 54166
Phone (715) 524-4840

3800 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 536-8333

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.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1134539943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143105",
            "telephone_number": "414-902-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143105",
            "telephone_number": "414-902-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "APSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129312-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.