Individual provider Active NPI

Erika Lynn Broxton

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1235760711
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3026 W Concordia Ave
Milwaukee, WI 53216-3853
Phone
(414) 253-7494
Fax
(414) 296-0273
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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 Primary

Addresses

Primary practice location

3026 W Concordia Ave
Milwaukee, WI 53216-3853

Mailing address

4241 W Hawthorne Trace Rd Apt 103
Milwaukee, WI 53209-1033
Phone (262) 573-9322

Other identifiers 1

IdentifierTypeStateIssuer
132309-121OtherWISOCIAL WORK LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erika.l.broxton@catapultwellness.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catapult Wellness LLC Clinical CurrentSince Jan 2, 2022 Accepting new patients

Locations

3026 W Concordia Ave
Milwaukee, WI 53216
Phone (414) 253-7494

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1235760711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 W HAWTHORNE TRACE RD APT 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532091033",
            "telephone_number": "262-573-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 W CONCORDIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163853",
            "telephone_number": "414-253-7494",
            "fax_number": "414-296-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROXTON",
        "first_name": "ERIKA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "132309-121",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erika.l.broxton@catapultwellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3026 W Concordia Ave Ste 100",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532163853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 28, 2021; 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.