Aretha Aldridge-Brown, APSW

Individual provider Active NPI Social Worker · Oak Creek, WI

NPI 1528754652 · NPPES record last updated Apr 12, 2023

Key facts

NPI
1528754652
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
131406-121 (WI)
Practice address
8565 S Golden Fields Dr
Oak Creek, WI 53154-3307
Phone
(773) 960-0564
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
131406-121WIMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
104100000X 131406-121 WI Yes

Addresses

Primary practice location

8565 S Golden Fields Dr
Oak Creek, WI 53154-3307

Mailing address

8565 S Golden Fields Dr
Oak Creek, WI 53154-3307
Phone (773) 960-0564

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 12, 2023.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1528754652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 S GOLDEN FIELDS DR",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543307",
            "telephone_number": "773-960-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 S GOLDEN FIELDS DR",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543307",
            "telephone_number": "773-960-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRIDGE-BROWN",
        "first_name": "ARETHA",
        "name_prefix": "Mrs.",
        "credential": "APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131406-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

All providers in Oak Creek, WI · Social Worker in Wisconsin

Sources for this page

Verify at the official NPI Registry.