Individual provider Active NPI

Alison Marie Mangerson

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1225382849
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8180-123 Issued in WI
Practice address
3267 S 16TH St
Ohio BLDG Room 200
Milwaukee, WI 53215-4500
Phone
(414) 389-3111
Fax
(414) 389-3110
NPI assigned
Nov 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8180-123 WI Primary

Addresses

Primary practice location

3267 S 16TH St
Ohio BLDG Room 200
Milwaukee, WI 53215-4500

Mailing address

400 W River Woods Pkwy
3Rd Floor
Glendale, WI 53212-1060
Phone (414) 465-3091

Other names 1

  • Alison Marie Fisher Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150610000825 WI Practitioner - Clinical Social Worker 3375864705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3267 S 16TH St
Suite 200
Milwaukee, WI 53215-4500
Phone (414) 647-5069

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8180-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension St Francis Hospital, Inc CurrentSince Jun 1, 2015 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Apr 1, 2016 Accepting new patients
Ascension St Francis Hospital, Inc CurrentSince Jun 1, 2015 Accepting new patients
Wheaton Franciscan Healthcare PastSince Apr 1, 2016 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

400 W River Woods Pkwy
Fl 3
Glendale, WI 53212
Phone (414) 465-3091

3267 S 16th St
Milwaukee, WI 53215
Phone (414) 389-3111

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

3267 S 16th St
Ste 200
Milwaukee, WI 53215
Phone (414) 389-3111

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1225382849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W RIVER WOODS PKWY",
            "address_2": "3RD FLOOR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121060",
            "telephone_number": "414-465-3091",
            "fax_number": "414-465-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 S 16TH ST",
            "address_2": "OHIO BLDG ROOM 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154500",
            "telephone_number": "414-389-3111",
            "fax_number": "414-389-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGERSON",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8180-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "FISHER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.