Individual provider Active NPI

Joshua Alan, LCSW

  • Clinical Social Worker
  • Neenah, WI
National Provider Identifier
1447719463
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8976 Issued in WI
Practice address
1136 Westowne Dr
Neenah, WI 54956-2175
Phone
(920) 720-8200
Fax
(920) 720-8007
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 8976 WI Primary

Addresses

Primary practice location

1136 Westowne Dr
Neenah, WI 54956-2175

Mailing address

1136 Westowne Dr
Neenah, WI 54956-2175
Phone (920) 720-8200

Other identifiers 1

IdentifierTypeStateIssuer
100087028MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jalan227800@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20190419000441 WI Practitioner - Clinical Social Worker 6608118716

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8976WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Care and Compassion Counseling, LLC Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jalan227800@direct.myadvocateaurora.org

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1447719463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 WESTOWNE DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562175",
            "telephone_number": "920-720-8200",
            "fax_number": "920-720-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 WESTOWNE DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562175",
            "telephone_number": "920-720-8200",
            "fax_number": "920-720-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAN",
        "first_name": "JOSHUA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100087028",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jalan227800@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1136 Westowne Dr",
            "city": "Neenah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549562175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1136 Westowne Dr",
            "city": "Neenah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549562175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.