NPIMap

Organization Active NPI

Wis. Lutheran Child & Family Services

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1497029904
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7143-123 Issued in WI
Legal business name
WIS. LUTHERAN CHILD & FAMILY SERVICES
Practice address
2345 N 25TH St
Milwaukee, WI 53206-1003
Phone
(262) 345-5560
Fax
(262) 345-5562
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Daniel P Nommensen, MA, LPC, CEAP
Title
Programs Director
Phone
(262) 345-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 7143-123 WI Primary

Addresses

Primary practice location

2345 N 25TH St
Milwaukee, WI 53206-1003

Mailing address

W175N11120 Stonewood Dr
Germantown, WI 53022-6511
Phone (262) 345-5560

Other identifiers 1

IdentifierTypeStateIssuer
39798400MedicaidWI

Other names 1

  • Christian Family Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christian Family Counseling62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1497029904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11120 STONEWOOD DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226511",
            "telephone_number": "262-345-5560",
            "fax_number": "262-345-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 N 25TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061003",
            "telephone_number": "262-345-5560",
            "fax_number": "262-345-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIS. LUTHERAN CHILD & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "NOMMENSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PROGRAMS DIRECTOR",
        "authorized_official_telephone_number": "262-345-5560",
        "authorized_official_credential": "MA, LPC, CEAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7143-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39798400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.