Carlo Jon Nevicosi, MSW, APSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

W4051 County Rd. NN
Elkhorn, WI 53121

Phone

(262) 741-3223

Fax

(262) 741-3217

NPI assigned

Jul 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• County of Walworth

  dba Walworth County Department of Health and Human Services

  • Community/Behavioral Health Agency
  • Elkhorn, WI
  • NPI 1942532759
  Authorized official Same address or phone

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245260033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 FOREST PARK BLVD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454109",
            "telephone_number": "262-510-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W4051 COUNTY RD. NN",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "53121",
            "telephone_number": "262-741-3223",
            "fax_number": "262-741-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVICOSI",
        "first_name": "CARLO",
        "middle_name": "JON",
        "credential": "MSW, APSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamal S Muzaffar, MD
• Narayan Naik, DDS
• Alexander Jordan Neils, PA-C
• Lynda Nelson Elmudesi, LCSW
• David Nelson, PHARMD
• Rugile Nichols, DO
• Janna Fe Notario-Ringwald, MD, MSC
• Anna E Novotny
• Anna Nusbaum, MD
• Danielle Obannon

• Social Worker in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• 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.