Thomas Speaker, PHD, LCSW, CADC III

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1908-123 Issued in WI

Practice address

2314 N Grandview Blvd
Suites 301 and 110
Waukesha, WI 53188-1675

Phone

(262) 524-9416

Fax

(262) 524-9434

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1366466427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N JANACEK RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456102",
            "telephone_number": "262-641-9050",
            "fax_number": "262-641-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 N GRANDVIEW BLVD",
            "address_2": "SUITES 301 AND 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881675",
            "telephone_number": "262-524-9416",
            "fax_number": "262-524-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKER",
        "first_name": "THOMAS",
        "credential": "PHD, LCSW, CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1908-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39184300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Spitzer, BSN, RN

• Clinical Social Worker in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.