NPIMap

Individual provider Active NPI

Barbara B Mizer, MSW,LCSW,CSAC

  • Clinical Social Worker
  • Mount Pleasant, WI
National Provider Identifier
1467588590
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6718-123 Issued in WI
Practice address
6214 Washington Ave
Suite C10
Mount Pleasant, WI 53406-3986
Phone
(262) 989-6212
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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 6718-123 WI Primary

Addresses

Primary practice location

6214 Washington Ave
Suite C10
Mount Pleasant, WI 53406-3986

Mailing address

6618 Primrose Way
Racine, WI 53406-2678
Phone (262) 989-6212

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Healthcare, Inc Past Accepting new patients
Horizon Healthcare, Inc Past Accepting new patients

Organizations & group practices 2

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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1467588590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 PRIMROSE WAY",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534062678",
            "telephone_number": "262-989-6212",
            "fax_number": "262-989-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 WASHINGTON AVE",
            "address_2": "SUITE C10",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063986",
            "telephone_number": "262-989-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZER",
        "first_name": "BARBARA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MSW,LCSW,CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6718-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.