Stacy Lynn Gaertner, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7510-123 Issued in WI

Practice address

2300 N Mayfair Rd
Suite 425
Wauwatosa, WI 53226-1505

Phone

(414) 727-4455

Fax

(414) 727-4690

NPI assigned

Aug 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Associates in Holistic Healthcare, LLC

  • Clinical Psychologist
  • Brookfield, WI
  • NPI 1427473800
  NPD (past)
• Erc Wisconsin, LLC

  • Adult Mental Health Clinic/Center
  • Wauwatosa, WI
  • NPI 1730853870
  NPD (past)
• Holistic Wellness Center LLC

  • Group Psychotherapy Psychologist
  • Brookfield, WI
  • NPI 1285726661
  NPD (past)
• Pathway to Wellness Community Clinic SC

  • Clinical Social Worker
  • Prairie Du Sac, WI
  • NPI 1528413739
  NPD (past)

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1164654794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 4TH ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781136",
            "telephone_number": "608-643-3663",
            "fax_number": "608-643-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD",
            "address_2": "SUITE 425",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261505",
            "telephone_number": "414-727-4455",
            "fax_number": "414-727-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERTNER",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "7510-123",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149014613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Isaac Frost, D.O.
• Thomas Warren Frost, D.D.S.
• Samantha Elizabeth Fruehauf, PA
• Meghan Fularczyk
• Amanda Elizabeth Funk
• Dinshah D Gagrat, MD
• Heidi Lynn Gahr, PSYD
• John R Galbraith, PH.D.
• Timothy Galinsky, PHARMD
• Mary Gallagher

• Social Worker in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.