Active NPI
Tammie Golden, MS LPC IT SAC IT QTT
- Social Worker
- Milwaukee, WI
National Provider Identifier
1235501289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1497982045
- Practice address
- 4001 W Capitol Dr
Milwaukee, WI 53216-2530 - Phone
- (414) 810-6691
- Fax
- (855) 719-3024
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1497982045 | WI | Primary |
Addresses
Primary practice location
4001 W Capitol Dr
Milwaukee, WI 53216-2530
Mailing address
4911 N 57TH St
Milwaukee, WI 53218-4241
Phone (414) 828-9103
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1497982045 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1235501289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4911 N 57TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532184241",
"telephone_number": "414-828-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162530",
"telephone_number": "414-810-6691",
"fax_number": "855-719-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "TAMMIE",
"credential": "MS LPC IT SAC IT QTT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "1497982045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.