Individual provider Active NPI

Denise Louise Drum, MSW LCSW SAC

  • Clinical Social Worker
  • Waukesha, WI
National Provider Identifier
1275734105
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3079-123 Issued in WI
Practice address
407 Pilot CT Ste 400
Waukesha, WI 53188-2466
Phone
(262) 524-9822
Fax
(262) 832-0089
NPI assigned
May 29, 2007
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12512 - 131 WI
Clinical Social Worker 1041C0700X 3079-123 WI Primary

Addresses

Primary practice location

407 Pilot CT Ste 400
Waukesha, WI 53188-2466

Mailing address

N25W27675 Prospect Ave
Pewaukee, WI 53072-4361

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

LicenseStateTypeSpecialty
12512 - 131WIMDAddiction (Substance Use Disorder) Counselor
3079-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Manos, Smith & Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1275734105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N25W27675 PROSPECT AVE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 PILOT CT STE 400",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882466",
            "telephone_number": "262-524-9822",
            "fax_number": "262-832-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUM",
        "first_name": "DENISE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MSW    LCSW   SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12512 - 131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3079-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.