The Institute for Social Advancement

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE INSTITUTE FOR SOCIAL ADVANCEMENT

Practice address

4222 W Capitol Dr
Lower Level
Milwaukee, WI 53216-2500

Phone

(414) 449-9908

Fax

(414) 449-9912

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Chuck Holloway, PH.D

Title

President

Phone

(414) 449-9908

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1295901528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532010274",
            "telephone_number": "414-449-9908",
            "fax_number": "414-449-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 W CAPITOL DR",
            "address_2": "LOWER LEVEL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162500",
            "telephone_number": "414-449-9908",
            "fax_number": "414-449-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INSTITUTE FOR SOCIAL ADVANCEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-449-9908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44018400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Medical College of Wisconsin, Inc.

• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.