Individual provider Active NPI

Gabrielle Grace Trecek, LCSW

  • Clinical Social Worker
  • Whitefish Bay, WI
National Provider Identifier
1427786730
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9987123 Issued in WI
Practice address
316 E Silver Spring Dr Ste 227
Whitefish Bay, WI 53217-5223
Phone
(414) 301-3234
NPI assigned
Aug 13, 2022
Last updated
Aug 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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 9987123 WI Primary

Addresses

Primary practice location

316 E Silver Spring Dr Ste 227
Whitefish Bay, WI 53217-5223

Mailing address

316 E Silver Spring Dr Ste 227
Whitefish Bay, WI 53217-5223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 15, 2024 through Aug 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9987123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1427786730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E SILVER SPRING DR STE 227",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E SILVER SPRING DR STE 227",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175223",
            "telephone_number": "414-301-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRECEK",
        "first_name": "GABRIELLE",
        "middle_name": "GRACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9987123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish Bay, WI

Sources for this page

Verify at the official NPI Registry.