Wade Thomas Koski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7176-123 Issued in WI

Practice address

4402 S 68TH St
Suite 100
Greenfield, WI 53220-3479

Phone

(414) 321-4411

Fax

(414) 321-0552

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Discovery & Recovery Clinic,Inc.

  • Clinical Social Worker
  • Greenfield, WI
  • NPI 1609992098
  Authorized official Same address or phone
• Wade Koski LLC

  • Adult Mental Health Clinic/Center
  • Greenfield, WI
  • NPI 1992106595
  Authorized official Same address or phone

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235201914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 W SQUIRE AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204441",
            "telephone_number": "414-467-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 S 68TH ST",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203479",
            "telephone_number": "414-321-4411",
            "fax_number": "414-321-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKI",
        "first_name": "WADE",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7176-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4095900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7176-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Koll, N.P.
• Kelly Kolodzinski, PHD
• Cheryl Lynn Konczal, P.T.A.
• Mikayla Kornowski, OTR
• Michelle Jean Kort, OT
• Thomas John Kosman, COTA
• Charles Robert Kosowski, DDS
• Joanne V Kostowicz-Volm, APNP
• Courtney Kowalczyk
• Danielle Elizabeth Koziczkowski

• Clinical Social Worker in Greenfield, WI
• Providers in Greenfield, 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 Jul 8, 2007; 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.