Patricia K Briceno LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1965123 Issued in WI

Legal business name

PATRICIA K BRICENO LLC

Practice address

3970 N Oakland Ave
Suite 502
Shorewood, WI 53211-2265

Phone

(414) 962-9909

Fax

(414) 332-8596

NPI assigned

Mar 17, 2010

Last updated

Mar 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia K Briceno, MS, LCSWNPI 1235209875

Title

Owner/Psychotherapist

Phone

(414) 962-9909

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia K Briceno, MS LCSW

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1235209875
  Authorized official Same address or phone

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1417271610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE",
            "address_2": "SUITE 502",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-962-9909",
            "fax_number": "414-332-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 N OAKLAND AVE",
            "address_2": "SUITE 502",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112265",
            "telephone_number": "414-962-9909",
            "fax_number": "414-332-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA K BRICENO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "BRICENO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-962-9909",
        "authorized_official_credential": "MS, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1965123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39676000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Olson, RN
• Erin Olson
• Heidi M Osborn, CF-SLP
• Pape Chiropractic Clinics III (Holistic Chiropractic Center)
• Brett C Pape, DC
• Rachel L Patton, DPT
• Paul D. Rossman PTSC
• Margaret Pedersen, DAOMC, MSOM, L.AC.
• Sarah Platzer, LCSW
• Paul W Potos, PT

• Community/Behavioral Health Agency in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.