Individual provider Active NPI

Susie L Ward, MS,M.F.T

  • Marriage & Family Therapist
  • Milwaukee, WI
National Provider Identifier
1346483997
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41-228 Issued in WI
Practice address
2947 N Martin Luther King Dr Ste 221
Milwaukee, WI 53212-2301
Phone
(414) 265-4141
Fax
(414) 265-5149
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 41-228 WI Primary

Addresses

Primary practice location

2947 N Martin Luther King Dr Ste 221
Milwaukee, WI 53212-2301

Mailing address

4449 N 82ND St
Milwaukee, WI 53218-4515
Phone (414) 257-5770

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41-228WIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1346483997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 N 82ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184515",
            "telephone_number": "414-257-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 N MARTIN LUTHER KING DR STE 221",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122301",
            "telephone_number": "414-265-4141",
            "fax_number": "414-265-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SUSIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MS,M.F.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "41-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.