Megan R Ambros, LCSW
Individual provider Active NPI Clinical Social Worker · Mequon, WI
NPI 1245806330 · NPPES record last updated Jan 8, 2022
Key facts
- NPI
- 1245806330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 9675-123 (WI)
- Practice address
- 11649 N Port Washington Rd Ste 201
Mequon, WI 53092-3459 - Phone
- (262) 789-1191
- NPI assigned
- May 31, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210713003045 | WI | Practitioner - Clinical Social Worker | 2365844339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current |
Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
11649 N Port Washington Rd
Ste 221
Mequon, WI 53092
Phone (262) 912-1922
11649 N Port Washington Rd
Ste 201
Mequon, WI 53092
Phone 2627891191380
10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100
Interoperability endpoints
- lifestancehealth.meganambros@149809.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9675-123 | WI | Yes |
Addresses
Primary practice location
11649 N Port Washington Rd Ste 201
Mequon, WI 53092-3459
Mailing address
11649 N Port Washington Rd Ste 201
Mequon, WI 53092-3459
Phone (262) 789-1191
Other providers in Mequon, WI
- Elizabeth Ashley Kuplic Alfonsi
- Fatima Ali
- All 4 Me & Mommy PNCC CCC, LLC
- Allan W. Torkelson, M.D., S.C.
- Allegiant Focus Youth & Family Services LLC
- Ambulatory Eeg Recordings LLC
- Ambulatory Eeg Recordings LLC
- Kristine Marie Amdor
- Amicara Health Inc
- An Inspirational Lover Prenatal Care Agency
All providers in Mequon, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.