Individual provider Active NPI

Serena Breining, MSW, CAPSW

  • Social Worker
  • Madison, WI
National Provider Identifier
1336683598
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
129791-121 Issued in WI
Practice address
831 E Washington Ave
Madison, WI 53703-2935
Phone
(608) 255-7356
Fax
(608) 255-0457
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 129791-121 WI Primary

Addresses

Primary practice location

831 E Washington Ave
Madison, WI 53703-2935

Mailing address

831 E Washington Ave
Madison, WI 53703-2935
Phone (608) 255-7356

Other identifiers 1

IdentifierTypeStateIssuer
129791-121OtherWIADVANCED PRACTICE SOCIAL WORKER LICENSE

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
129791-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Rainbow Project Inc Past Accepting new patients
The Rainbow Project, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1336683598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032935",
            "telephone_number": "608-255-7356",
            "fax_number": "608-255-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032935",
            "telephone_number": "608-255-7356",
            "fax_number": "608-255-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREINING",
        "first_name": "SERENA",
        "credential": "MSW, CAPSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129791-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE SOCIAL WORKER LICENSE",
            "identifier": "129791-121",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.