Care Connect, Inc.

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

CARE CONNECT, INC.

Practice address

4319 N 76TH St Ste 10
Milwaukee, WI 53222-2056

Phone

(414) 488-9396

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Roosevelt Richardson

Title

Director

Phone

(414) 801-0778

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1215417100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341414",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532341414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 N 76TH ST STE 10",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532222056",
            "telephone_number": "414-488-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CONNECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-801-0778"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Milwaukee, WI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.