Individual provider Active NPI

Margo Florez, LCSW, CSAC

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1306500699
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9833 Issued in WI
Practice address
3902 Milwaukee St # W519
Madison, WI 53707-5001
Phone
(414) 928-1244
NPI assigned
Oct 24, 2021
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 16521-131 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X
Social Worker 104100000X 128150 WI
Clinical Social Worker 1041C0700X 9833 WI Primary

Addresses

Primary practice location

3902 Milwaukee St # W519
Madison, WI 53707-5001

Mailing address

3902 Milwaukee St # W519
Madison, WI 53707-5001
Phone (414) 928-1244

Other practice location 1

1433 N Water Street
4th Floor
Milwaukee, WI 53202
Phone (414) 928-1244

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
I20220302002127 WI Practitioner - Clinical Social Worker 9830583111 Reassigns benefits to 1 organization
Practice locations: Madison, WI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16521-131WIMDAddiction (Substance Use Disorder) Counselor
128150WIMDSocial Worker
9833WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 13, 2026 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

Organizations & group practices 2

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": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1306500699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 MILWAUKEE ST # W519",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537075001",
            "telephone_number": "414-928-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 MILWAUKEE ST # W519",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537075001",
            "telephone_number": "414-928-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1433 N Water Street",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53202",
            "country_code": "US",
            "telephone_number": "414-928-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOREZ",
        "first_name": "MARGO",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16521-131",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "128150",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.