Active NPI
James R Hemmens, MSW
- Clinical Social Worker
- Waukesha, WI
National Provider Identifier
1164505145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- W231N1440 Corporate CT
Suite 310
Waukesha, WI 53186-1303 - Phone
- (262) 896-6186
- Fax
- (262) 896-6139
- NPI assigned
- Oct 23, 2006
- Last updated
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6788-123 | WI | |
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
W231N1440 Corporate CT
Suite 310
Waukesha, WI 53186-1303
Mailing address
2948 Artesian Rd Ste 112
Naperville, IL 60564-8559
Phone (630) 428-7890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6788-123 | Other | WI | WI LCSW LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6788-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Clinical | Current | Accepting new patients |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba LifeStance
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1366784837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1164505145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2948 ARTESIAN RD STE 112",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648559",
"telephone_number": "630-428-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W231N1440 CORPORATE CT",
"address_2": "SUITE 310",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861303",
"telephone_number": "262-896-6186",
"fax_number": "262-896-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMMENS",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "6788-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI LCSW LICENSE",
"identifier": "6788-123",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.