Active NPI
Joanna Ledvina, MSW, LCSW, CSAC
- Clinical Social Worker
- Greenfield, WI
National Provider Identifier
1285067413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8033-123
- Practice address
- 4811 S 76TH St Ste 208
Greenfield, WI 53220-4352 - Phone
- (262) 542-3255
- Fax
- (414) 817-0442
- NPI assigned
- Aug 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15649-132 | WI | |
| Clinical Social Worker | 1041C0700X | 8033-123 | WI | Primary |
Addresses
Primary practice location
4811 S 76TH St Ste 208
Greenfield, WI 53220-4352
Mailing address
16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906
Phone (262) 542-3255
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15649-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1285067413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16535 W BLUEMOUND RD STE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055906",
"telephone_number": "262-542-3255",
"fax_number": "262-821-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 S 76TH ST STE 208",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204352",
"telephone_number": "262-542-3255",
"fax_number": "414-817-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDVINA",
"first_name": "JOANNA",
"credential": "MSW, LCSW, CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15649-132",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "8033-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.