Active NPI
Beth Ann Wanke, MSW, LCSW, CSAC
- Clinical Social Worker
- Brown Deer, WI
National Provider Identifier
1225350903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8228-123
- Practice address
- 8602 N 63Rd St
Brown Deer, WI 53223-2816 - Phone
- (414) 507-4507
- NPI assigned
- Feb 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15712-132 | WI | |
| Clinical Social Worker | 1041C0700X | 8228-123 | WI | Primary |
Addresses
Primary practice location
8602 N 63Rd St
Brown Deer, WI 53223-2816
Mailing address
8602 N 63Rd St
Brown Deer, WI 53223-2816
Phone (414) 507-4507
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15712-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 8228-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1225350903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8602 N 63RD ST",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532232816",
"telephone_number": "414-507-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8602 N 63RD ST",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532232816",
"telephone_number": "414-507-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANKE",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW, LCSW, CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15712-132",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8228-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brown Deer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.