Individual provider Active NPI

Casey McCarragher, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1164077319
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9113-123 Issued in WI
Practice address
3330 W Wells St
Milwaukee, WI 53208-3333
Phone
(414) 342-5000
NPI assigned
Aug 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 9113-123 WI Primary

Addresses

Primary practice location

3330 W Wells St
Milwaukee, WI 53208-3333

Mailing address

8564 N 56TH St
Brown Deer, WI 53223-3022

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
I20211013003512 WI Practitioner - Clinical Social Worker 2961800438 Practice locations: Mequon, WI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14135 N Cedarburg Rd
Mequon, WI 53097-1416
Phone (414) 412-7459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Casey McCarragher LLC CurrentSince Aug 23, 2020 Accepting new patients

Locations

14135 N Cedarburg Rd
Mequon, WI 53097
Phone (262) 377-2006

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1164077319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8564 N 56TH ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W WELLS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083333",
            "telephone_number": "414-342-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRAGHER",
        "first_name": "CASEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9113-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.