Katelyn Marie Ryan Mazeika, MSW, CAPSW, CBIS

Primary specialty

Social WorkerTaxonomy code 104100000X

License

129421 Issued in WI

Practice address

945 N 12TH St
Suite 101
Milwaukee, WI 53233-1305

Phone

(651) 271-6738

NPI assigned

May 25, 2016

Last updated

May 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Katelyn Marie Ryan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1457709909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 W STATE ST",
            "address_2": "APT. 313",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532132983",
            "telephone_number": "651-271-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "address_2": "SUITE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "651-271-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZEIKA",
        "first_name": "KATELYN",
        "middle_name": "MARIE RYAN",
        "name_prefix": "Mrs.",
        "credential": "MSW, CAPSW, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "24914",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "129421",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MN",
            "license": "940710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "RYAN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MSW, CAPSW, CBIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Mayotte, RN
• Mays Home Care Agency LLC
• Mays PNCC Services LLC
• Kenneth L Mays
• Lamaris Mays
• Sana Mazher, M.D
• Mary C Mazul, CNM
• Debesh Chandra Mazumdar, M.D.
• Samantha Fay Mazur, DNP, RN, CPNP-PC
• Anthony J Mazzeo, MD

• Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.