Organization Active NPI

Regulate & Restore Therapy LLC

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1194674523
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REGULATE & RESTORE THERAPY LLC
Practice address
777 N Jefferson St Ste
Milwaukee, WI 53202-3875
Phone
(414) 293-3362
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Tanya Edwards, LCSWNPI 1699406165
Title
Licensed Clinical Social Worker
Phone
(414) 293-3362

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

777 N Jefferson St Ste
Milwaukee, WI 53202-3875

Mailing address

777 N Jefferson St Ste 408
Milwaukee, WI 53202-3875
Phone (414) 293-3362

National Provider Directory

National Provider Directory

Locations

777 N Jefferson St
Ste 408
Milwaukee, WI 53202
Phone (414) 367-8494

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": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1194674523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N JEFFERSON ST STE 408",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023875",
            "telephone_number": "414-293-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N JEFFERSON ST STE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023875",
            "telephone_number": "414-293-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGULATE & RESTORE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "414-293-3362",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jul 29, 2026; 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.