Individual provider Active NPI

Melissa K Weier, LCSW, CSAC

  • Clinical Social Worker
  • Oak Creek, WI
National Provider Identifier
1265980221
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8825 S Howell Ave
Oak Creek, WI 53154-3760
Phone
(262) 780-1020
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 130387 WI
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

8825 S Howell Ave
Oak Creek, WI 53154-3760

Mailing address

8825 S Howell Ave Ste 200
Oak Creek, WI 53154-3760
Phone (414) 215-7554

Other identifiers 1

IdentifierTypeStateIssuer
42212600MedicaidWI

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
I20180912001811 WI Practitioner - Clinical Social Worker 2769732700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
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)

331 E Puetz Rd
Oak Creek, WI 53154-3254
Phone (414) 296-4065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130387WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Counseling and Family Services of Wisconsin Inc Social Worker CurrentSince Jan 1, 2025 Accepting new patients
American Behavioral Clinics, SC CurrentSince May 16, 2025 Accepting new patients
Red Oak Counseling, LTD. PastSince Jan 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical Past Accepting new patients

Locations

1240 W Ranchito Ln
Mequon, WI 53092
Phone (262) 240-9946

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

331 E Puetz Rd
Oak Creek, WI 53154
Phone (414) 296-4065

3800 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 536-8333

Organizations & group practices 4

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": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1265980221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "414-215-7554",
            "fax_number": "414-215-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "262-780-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIER",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "130387",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42212600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.