Reginald T Birt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8520-123 Issued in WI

Practice address

6815 W Capitol Dr Ste 105
Milwaukee, WI 53216-2056

Phone

(414) 522-6800

Fax

(414) 240-8497

NPI assigned

Dec 5, 2012

Last updated

May 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Birt Supportive Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1689149700
  Authorized official Same address or phone
• Precise Testing LLC

  • Clinical Medical Laboratory
  • Milwaukee, WI
  • NPI 1003391269
  Authorized official Same address or phone

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1487999207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 N 89TH ST",
            "address_2": "BIRT SUPPORTIVE SERVICES LLC",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532254106",
            "telephone_number": "414-522-6800",
            "fax_number": "414-240-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 W CAPITOL DR STE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162056",
            "telephone_number": "414-522-6800",
            "fax_number": "414-240-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4868 N 89th Street",
            "address_2": "Birt Supportive Services, LLC",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532254106",
            "country_code": "US",
            "telephone_number": "414-616-6329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRT",
        "first_name": "REGINALD",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-05",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "126882-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8520-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487999207",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Birkey
• Angela Birler, MS/CCC-SLP
• Jody R Birlik, PA
• Stephanie Birr, LPC
• Birt Supportive Services LLC
• Ashley M Bischel, PA-C
• Taylor Elizabeth Bischoff, LAT, ATC
• Casey Keith Bishop, MD
• Erin Bishop, MD
• Jared Bishop, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.