Active NPI
Jennifer K Cicero, LCSW
- Clinical Social Worker
- Wauwatosa, WI
National Provider Identifier
1487071932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6896-123
- Practice address
- 2600 N Mayfair Rd
Ste 305
Wauwatosa, WI 53226-1309 - Phone
- (414) 257-0233
- Fax
- (414) 257-3588
- NPI assigned
- Mar 22, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6896-123 | WI | Primary |
Addresses
Primary practice location
2600 N Mayfair Rd
Ste 305
Wauwatosa, WI 53226-1309
Mailing address
2600 N Mayfair Rd
Ste 305
Wauwatosa, WI 53226-1309
Phone (414) 257-0233
Other names 1
- Ms. Jennifer K Marlewski
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 N Mayfair Rd
Suite 305
Wauwatosa, WI 53226-1303
Phone (414) 257-0233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6896-123 | WI | MD | Clinical Social Worker |
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.
-
- Psychiatry Physician
- Wauwatosa, WI
- NPI 1063437986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395446400000",
"number": "1487071932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD",
"address_2": "STE 305",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261309",
"telephone_number": "414-257-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD",
"address_2": "STE 305",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261309",
"telephone_number": "414-257-0233",
"fax_number": "414-257-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICERO",
"first_name": "JENNIFER",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-22",
"last_updated": "2014-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "6896-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MARLEWSKI",
"middle_name": "K",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.