Active NPI
Douglas E. Sveda, MSW
- Social Worker
- West Allis, WI
National Provider Identifier
1447460217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 339-121
- Practice address
- 5812 W Burnham St
West Allis, WI 53219-1524 - Phone
- (414) 543-3200
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 339-121 | WI | Primary |
Addresses
Primary practice location
5812 W Burnham St
West Allis, WI 53219-1524
Mailing address
1926 N 56TH St
Milwaukee, WI 53208-1606
Phone (414) 258-2734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39703200 | Medicaid | WI |
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 |
|---|---|---|---|
| 339-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447460217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 N 56TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532081606",
"telephone_number": "414-258-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5812 W BURNHAM ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532191524",
"telephone_number": "414-543-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVEDA",
"first_name": "DOUGLAS",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "339-121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39703200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.