Active NPI
1-9 Youth & Family Services
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1194286294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- 1-9 YOUTH & FAMILY SERVICES
- Practice address
- 2201 N MLK Dr
Milwaukee, WI 53212-3125 - Phone
- (414) 630-4986
- NPI assigned
- Mar 29, 2019
- Organization subpart
- Yes
- Parent organization
- 1-9 YOUTH & FAMILY SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dorothy Ree McCollum, LCSW
- Title
- Director
- Phone
- (414) 630-4986
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2201 N MLK Dr
Milwaukee, WI 53212-3125
Mailing address
3603 N Humboldt Blvd
Milwaukee, WI 53212-1705
Phone (414) 630-4986
Other practice location 1
4039 N 19th Pl
Milwaukee, WI 53209-6806
Phone (414) 630-4986
Other names 1
- ONE-NINE COUNSELING SERVICES
National Provider Directory
National Provider Directory- Part of
- 1-9 Youth Family Services
Locations
2201 N Mlk Dr
Milwaukee, WI 53212
Phone (414) 630-4986
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553817600000",
"number": "1194286294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3603 N HUMBOLDT BLVD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121705",
"telephone_number": "414-630-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 N MLK DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532123125",
"telephone_number": "414-630-4986"
}
],
"practiceLocations": [
{
"address_1": "4039 N 19th Pl",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532096806",
"country_code": "US",
"telephone_number": "414-630-4986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "1-9 YOUTH & FAMILY SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "1-9 YOUTH & FAMILY SERVICES",
"enumeration_date": "2019-03-29",
"last_updated": "2019-03-29",
"status": "A",
"authorized_official_last_name": "MCCOLLUM",
"authorized_official_first_name": "DOROTHY",
"authorized_official_middle_name": "REE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "414-630-4986",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ONE-NINE COUNSELING SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.