NPIMap

Organization Active NPI

Children'S Service Society of Wisconsin

  • Clinical Social Worker
  • Mount Pleasant, WI
National Provider Identifier
1548434848
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Practice address
8800 Washington Ave
Suite 100
Mount Pleasant, WI 53406-3701
Phone
(262) 633-3591
Fax
(262) 633-2619
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Ms. Tracy Oerter
Title
Interim Director of Counseling
Phone
(414) 266-2912

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8800 Washington Ave
Suite 100
Mount Pleasant, WI 53406-3701

Mailing address

8800 Washington Ave
Suite 100
Mount Pleasant, WI 53406-3701
Phone (262) 633-3591

Other identifiers 1

IdentifierTypeStateIssuer
42136500MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Childrens Service Society15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

8800 Washington Ave
Ste 100
Mount Pleasant, WI 53406
Phone (262) 633-3591

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1548434848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 WASHINGTON AVE",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063701",
            "telephone_number": "262-633-3591",
            "fax_number": "262-633-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 WASHINGTON AVE",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063701",
            "telephone_number": "262-633-3591",
            "fax_number": "262-633-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SERVICE SOCIETY OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "OERTER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "INTERIM DIRECTOR OF COUNSELING",
        "authorized_official_telephone_number": "414-266-2912",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42136500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.