Joseph Michael Abraham, LCSW ACSW CADC
Individual provider Active NPI Social Worker · West Allis, WI
NPI 1265544019 · NPPES record last updated Feb 11, 2009
Key facts
- NPI
- 1265544019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 1740123 (WI)
- Practice address
- 10201 W Lincoln Ave
308
West Allis, WI 53227-2136 - Phone
- (414) 329-7000
- Fax
- (414) 329-7010
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
W156N8327 Pilgrim Rd
Suite 302
Menomonee Falls, WI 53051-3776
Phone (262) 251-1113
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 |
|---|---|---|---|---|
| I20100420000460 | WI | Practitioner - Clinical Social Worker | 6103953393 |
Reassigns benefits to 1 organization Practice locations: Menomonee Falls, WI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1740123 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stress Management & Mental Health Clinics Inc | Current |
Accepting new patients | |
| Clinical Psychology Associates | Past | Accepting new patients |
Locations
2514 S 102nd St
Ste 275
West Allis, WI 53227
Phone (414) 329-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1740123 | WI | Yes |
Addresses
Primary practice location
10201 W Lincoln Ave
308
West Allis, WI 53227-2136
Mailing address
10201 W Lincoln Ave
308
West Allis, WI 53227-2136
Phone (414) 329-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12074 | Other | WI | CADC |
| 1740123 | Other | WI | LCSW |
| 39545600 | Medicaid | WI |
Other providers in West Allis, WI
- Aa Spine & Rehab Clinic LLC
- Heather Abasovski
- Amrou Abdelkader
- Omnya Abdelrahman
- Rasha Abou-Romia
- Accentcare Medical Group of Wisconsin, S.C.
- Act Counseling Inc
- Breann Paige Adam
- Alan David Adams
- Albert Henry Adams
All providers in West Allis, WI · 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 Feb 11, 2009. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.