Individual provider Active NPI

Marie Lynn Toole, LCSW

  • Clinical Social Worker
  • Waukesha, WI
National Provider Identifier
1366774663
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7102-123 Issued in WI
Practice address
500 Riverview Ave
Waukesha, WI 53188-3632
Phone
(262) 548-7263
NPI assigned
Feb 11, 2010
Last updated
Feb 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7102-123 WI Primary

Addresses

Primary practice location

500 Riverview Ave
Waukesha, WI 53188-3632

Mailing address

500 Riverview Ave
Waukesha, WI 53188-3632
Phone (262) 548-7263

Other names 1

  • Marie Lynn Anderson Professional name

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
I20130228000114 WI Practitioner - Clinical Social Worker 1254586043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Wisconsin LLCGroup PAC ID 6901224773, 7 clinicians

Practice addresses (Care Compare)

N26W23977 Watertown Rd
Waukesha, WI 53188-1006
Phone (262) 523-0933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County CurrentSince Jul 1, 2015 Accepting new patients
Vitae Health Medical Wisconsin LLC CurrentSince Aug 1, 2023 Accepting new patients
Waukesha County Current Accepting new patients
Waukesha County CurrentSince Jul 1, 2015 Accepting new patients
Family Services of Waukesha Past Accepting new patients
Family Service Agency of Waukesha County Inc Past Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

2121 Pioneer Dr
Beloit, WI 53511
Phone (608) 365-9526

3100 Washington Rd
Kenosha, WI 53144
Phone (262) 658-4039

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

500 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7666

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

N26W23977 Watertown Rd
Waukesha, WI 53188
Phone (262) 523-0933

Organizations & group practices 6

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": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1366774663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RIVERVIEW AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883632",
            "telephone_number": "262-548-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RIVERVIEW AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883632",
            "telephone_number": "262-548-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOLE",
        "first_name": "MARIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7102-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "ANDERSON",
            "middle_name": "LYNN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.