Individual provider Active NPI

Joanne Marie Damico, MSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1265502116
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2380123 Issued in WI
Practice address
7330 W Layton Avenue
Milwaukee, WI 53220
Phone
(414) 281-1677
Fax
(414) 281-9884
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 233124 WI
Clinical Social Worker 1041C0700X 2380123 WI Primary

Addresses

Primary practice location

7330 W Layton Avenue
Milwaukee, WI 53220

Mailing address

7330 W Layton Avenue
Milwaukee, WI 53220
Phone (414) 281-1677

Other identifiers 1

IdentifierTypeStateIssuer
39266500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000735 WI Practitioner - Clinical Social Worker 4789691130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Behavioral Clinics SCGroup PAC ID 7517937964, 46 clinicians

Practice addresses (Care Compare)

7330 W Layton Ave
Milwaukee, WI 53220-3849
Phone (414) 281-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2380123WIMDClinical Social Worker
233124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Behavioral Clinics, SC CurrentSince Feb 15, 2006 Accepting new patients
Horizon Healthcare, Inc Past Accepting new patients
Horizon Healthcare, Inc Past Accepting new patients

Locations

7330 W Layton Ave
Milwaukee, WI 53220
Phone (414) 281-1677

Organizations & group practices 3

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1265502116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 W LAYTON AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-281-1677",
            "fax_number": "414-281-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 W LAYTON AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-281-1677",
            "fax_number": "414-281-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICO",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "233124",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2380123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39266500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.