Individual provider Active NPI

Melainie R Tuggle, MSW,LCSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1194462614
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130485121 Issued in WI
Practice address
2730 N Avondale Blvd
Milwaukee, WI 53210-1361
Phone
(262) 744-6959
NPI assigned
May 16, 2022
Last updated
May 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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 130485121 WI Primary

Addresses

Primary practice location

2730 N Avondale Blvd
Milwaukee, WI 53210-1361

Mailing address

2730 N Avondale Blvd
Milwaukee, WI 53210-1361
Phone (262) 744-6959

Other practice location 1

2730 N Avondale Blvd
Milwaukee, WI 53210-1361
Phone (262) 744-6959

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
130485121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Melainie Tuggle MSW, LLC Clinical CurrentSince Sep 10, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1194462614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N AVONDALE BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101361",
            "telephone_number": "262-744-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 N AVONDALE BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101361",
            "telephone_number": "262-744-6959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 N Avondale Blvd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532101361",
            "country_code": "US",
            "telephone_number": "262-744-6959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUGGLE",
        "first_name": "MELAINIE",
        "middle_name": "R",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "130485121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 16, 2022; 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.