Individual provider Active NPI

Heather Marie Brose, LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1184079022
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8513-123 Issued in WI
Practice address
7635 W Oklahoma Ave
Suite 201
Milwaukee, WI 53219-3600
Phone
(414) 301-2445
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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 8513-123 WI Primary

Addresses

Primary practice location

7635 W Oklahoma Ave
Suite 201
Milwaukee, WI 53219-3600

Mailing address

5745 Cambridge LN
Unit 1
Mt Pleasant, WI 53406-2837
Phone (262) 497-5526

Other names 1

  • Heather Marie Rowland Former name

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
I20160506000067 WI Practitioner - Clinical Social Worker 8224337670 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8513-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services, PC Clinical CurrentSince Aug 2, 2023 Accepting new patients
Breathe Wellness & Prenatal Care LLC CurrentSince Feb 23, 2025 Accepting new patients
Hope for a Better Tomorrow CurrentSince May 31, 2022 Accepting new patients
Glassman & Stanik Consulting Psychologists, LLC Past Accepting new patients

Locations

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201

2607 N Grandview Blvd
Ste 110
Waukesha, WI 53188
Phone (262) 313-8339

Organizations & group practices 4

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1184079022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 CAMBRIDGE LN",
            "address_2": "UNIT 1",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534062837",
            "telephone_number": "262-497-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 W OKLAHOMA AVE",
            "address_2": "SUITE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532193600",
            "telephone_number": "414-301-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSE",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8513-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "ROWLAND",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.