Active NPI
Christine Mari Wilford, LICSW
- Clinical Social Worker
- West Allis, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1933-123
- Practice address
- 2044 S 96TH Street
West Allis, WI 53227 - Phone
- (414) 698-6104
- NPI assigned
- Aug 29, 2012
- Last updated
- Dec 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 1933-123 | WI | Primary |
Addresses
Primary practice location
2044 S 96TH Street
West Allis, WI 53227
Mailing address
10408 55TH Ave
Pleasant Prairie, WI 53158-3401
Phone (414) 698-6106
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
- University of Wisconsin School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18740 W Bluemound Rd
Brookfield, WI 53045-2936
Phone (773) 332-7539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1933-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ganesha Institute of Neurology and Psychiatry SC | Clinical | Current | Accepting new patients |
| Ganesha Institute of Neurology and Psychiatry SC | Clinical | Current | Accepting new patients |
| Wi SHMH SC | Current | Accepting new patients |
Locations
18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230
4600 Green Bay Rd
Kenosha, WI 53144
Phone (847) 816-6335
Organizations & group practices 3
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.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Brookfield, WI
- NPI 1841031549
-
dba A Ray of Hope: The Great Lakes Institute of Neurology and Psychiatry
- Neurology Physician
- Libertyville, IL
- NPI 1629478599
Clinical, WI
-
- Neurology Physician
- Kenosha, WI
- NPI 1619731320
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1538418116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10408 55TH AVE",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531583401",
"telephone_number": "414-698-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2044 S 96TH STREET",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "53227",
"telephone_number": "414-698-6104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILFORD",
"first_name": "CHRISTINE",
"middle_name": "MARI",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "1933-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.