Individual provider Active NPI

Ellen P Wood, MSW

  • Clinical Social Worker
  • Brookfield, WI
National Provider Identifier
1437245461
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3583-123 Issued in WI
Practice address
2511 N 124TH St Ste 106
Brookfield, WI 53005-4684
Phone
(262) 641-4347
Fax
(262) 641-4350
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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 3583-123 WI Primary

Addresses

Primary practice location

2511 N 124TH St Ste 106
Brookfield, WI 53005-4684

Mailing address

2511 N 124TH St Ste 106
Brookfield, WI 53005-4684
Phone (262) 641-4347

Other identifiers 1

IdentifierTypeStateIssuer
40967000MedicaidWI

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
I20110325000658 WI Practitioner - Clinical Social Worker 9537342662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Systemic Perspectives IncGroup PAC ID 0446147847, 9 clinicians

Practice addresses (Care Compare)

2511 N 124TH St
Suite 106
Brookfield, WI 53005-4609
Phone (262) 641-4347

2511 N 124TH St
Suite 106
Brookfield, WI 53005-4684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3583-123WIMDClinical Social Worker
3583WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Systemic Perspectives, Inc. CurrentSince May 1, 2002 Accepting new patients

Locations

2515 N 124th St
Ste 101
Brookfield, WI 53005
Phone (262) 641-4347

2511 N 124th St
Ste 106
Brookfield, WI 53005
Phone (262) 641-4347

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1437245461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 N 124TH ST STE 106",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054684",
            "telephone_number": "262-641-4347",
            "fax_number": "262-641-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 N 124TH ST STE 106",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054684",
            "telephone_number": "262-641-4347",
            "fax_number": "262-641-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ELLEN",
        "middle_name": "P",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3583-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40967000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.