Affiliated Wellness Group LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

AFFILIATED WELLNESS GROUP LLC

Practice address

N27W23960 Paul Rd Ste 202
Pewaukee, WI 53072-6218

Phone

(262) 646-8288

Fax

(262) 646-8255

NPI assigned

Jul 11, 2006

Organization subpart

No

Name

Joelle Kathleen Ottoson, MSW

Title

Owner

Phone

(262) 646-8288

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Kelly Jones, LPC, MS

  • Counselor
  • Delafield, WI
  • NPI 1134147952
  NPD (past)
• Pamela Anne Schmidt-Peckham, MSW, APSW

  • Social Worker
  • Delafield, WI
  • NPI 1780606129
  NPD (past) Social Worker
• Kimberly JD Iese, MSW, LCSW

  • Clinical Social Worker
  • Honolulu, HI
  • NPI 1285824573
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2020.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1386678423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W23960 PAUL RD STE 202",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726218",
            "telephone_number": "262-646-8288",
            "fax_number": "262-646-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N27W23960 PAUL RD STE 202",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726218",
            "telephone_number": "262-646-8288",
            "fax_number": "262-646-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532121077",
            "country_code": "US",
            "telephone_number": "262-646-8288",
            "fax_number": "262-646-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFILIATED WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "OTTOSON",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-646-8288",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tamara Ahmad, R.N.
• Laith Mutasem Al-Shihabi, M.D.
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• Cynthia A Algaier, R.N.
• Alison Ali, L.AC., MSOM

• All providers in Pewaukee, WI
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.