Active NPI
Janet Ann Shimkus, MSW
- Clinical Social Worker
- Racine, WI
National Provider Identifier
1376891903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 728-121
- Practice address
- 2000 Domanik Dr
Racine, WI 53404-2910 - Phone
- (262) 676-5815
- NPI assigned
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 728-121 | WI | Primary |
Addresses
Primary practice location
2000 Domanik Dr
Racine, WI 53404-2910
Mailing address
2000 Domanik Dr
Racine, WI 53404-2910
Phone (262) 676-5815
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
| License | State | Type | Specialty |
|---|---|---|---|
| 728-121 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1376891903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 DOMANIK DR",
"city": "RACINE",
"state": "WI",
"postal_code": "534042910",
"telephone_number": "262-676-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 DOMANIK DR",
"city": "RACINE",
"state": "WI",
"postal_code": "534042910",
"telephone_number": "262-676-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMKUS",
"first_name": "JANET",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "728-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
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- Scott Thomas Sheriff, D.C.
- Peter Shim
- Shopko Stores Operating Co LLC (ShopKo Pharmacy 027)
- Shopko Stores Operating Co. LLC (ShopKo Optical 027)
- Howard W. Short, M.D.
- Heidi Anne Shufelt, OD
- Ahmed Siddig Muhammed Ahmed, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.