Theresa J Zakutansky, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1941-123 Issued in WI

Practice address

910 Elm Grove Rd Ste 11B
Elm Grove, WI 53122-2531

Phone

(262) 780-1001

Fax

(262) 780-1002

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Theresa Gracyalny Former name

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sami Health Services LLCGroup PAC ID 0143469114, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sami Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elm Grove, WI
  • NPI 1942645510
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1205993482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ELM GROVE RD STE 11B",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222531",
            "telephone_number": "262-780-1001",
            "fax_number": "262-780-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ELM GROVE RD STE 11B",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222531",
            "telephone_number": "262-780-1001",
            "fax_number": "262-780-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKUTANSKY",
        "first_name": "THERESA",
        "middle_name": "J",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1941-123",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "383-124",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1828-132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205993482",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "GRACYALNY",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Winston, LPC-IT
• Wisconsin Access National, LLC
• Wisconsin Vision, LLC
• Brian Gordon Wisniewski, HIS
• Amy Elizabeth Wroblewski
• Maria Therese Zanoni, P.T.
• Johannah Zeamer

• Clinical Social Worker in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.