County of Walworth
Organization Active NPI Case Management Agency · Elkhorn, WI
NPI 1205914967 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1205914967
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- COUNTY OF WALWORTH
- Practice address
- 1910 County Road NN
Elkhorn, WI 53121-4454 - Phone
- (262) 741-3200
- Fax
- (262) 741-3217
- NPI assigned
- Nov 1, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF WALWORTH
Authorized official
- Name
- Carlo Jon Nevicosi, MSW, LCSW
- Title
- Director
- Phone
- (262) 741-3200
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Walworth County Dept of
- Part of
- Walworth County Dept of
Locations
1910 Highway NN
Elkhorn, WI 53121
Phone (262) 741-3200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
1910 County Road NN
Elkhorn, WI 53121-4454
Mailing address
PO Box 1005
Elkhorn, WI 53121-1005
Phone (262) 741-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44004000 | Medicaid | WI |
Other names
- Walworth County Department of Health and Human Services
Other providers in Elkhorn, WI
- Joy Evon Clikeman
- Community Living Arrangements, Inc.
- Bonnie L Connolly
- County of Walworth
- County of Walworth
- County of Walworth
- County of Walworth
- County of Walworth
- County of Walworth
- County of Walworth
All providers in Elkhorn, WI · Case Management Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.