Active NPI
Krista Kay Ungerleider, MSSW, LCSW
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1265461123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6847-123
- Practice address
- VA Medical Center-5000 W National Ave
Domiciliary Building 43
Milwaukee, WI 53295-0001 - Phone
- (414) 384-2000
- Fax
- (414) 902-5430
- NPI assigned
- Jul 2, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6847-123 | WI | Primary |
Addresses
Primary practice location
VA Medical Center-5000 W National Ave
Domiciliary Building 43
Milwaukee, WI 53295-0001
Mailing address
8249 S 42ND St
Franklin, WI 53132-7811
Phone (414) 421-2240
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6847-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265461123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8249 S 42ND ST",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531327811",
"telephone_number": "414-421-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER-5000 W NATIONAL AVE",
"address_2": "DOMICILIARY BUILDING 43",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001",
"telephone_number": "414-384-2000",
"fax_number": "414-902-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGERLEIDER",
"first_name": "KRISTA",
"middle_name": "KAY",
"credential": "MSSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "6847-123",
"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 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.