Organization Active NPI

SL Kazik LLC

  • Community/Behavioral Health Agency
  • Neenah, WI
National Provider Identifier
1336037720
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SL KAZIK LLC
Practice address
40 Jewelers Park Dr Ste 100
Neenah, WI 54956-3893
Phone
(920) 720-6000
Fax
(920) 720-6000
NPI assigned
Jun 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Susan Kazik, APSWNPI 1497542955
Title
Apsw/Owner
Phone
(920) 224-5559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

40 Jewelers Park Dr Ste 100
Neenah, WI 54956-3893

Mailing address

N1630 Waterlefe Dr
Greenville, WI 54942-8548
Phone (920) 224-5559

Other names 1

  • Changing Tides Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1336037720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1630 WATERLEFE DR",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428548",
            "telephone_number": "920-224-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 JEWELERS PARK DR STE 100",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563893",
            "telephone_number": "920-720-6000",
            "fax_number": "920-720-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL KAZIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "KAZIK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "APSW/OWNER",
        "authorized_official_telephone_number": "920-224-5559",
        "authorized_official_credential": "APSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing Tides",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.