Active NPI
Jessica Lovely
- Social Worker
- West Allis, WI
National Provider Identifier
1558867416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128219-121
- Practice address
- 1126 S 70TH St Ste 112-3
West Allis, WI 53214-3124 - Phone
- (414) 727-2789
- NPI assigned
- Mar 31, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 128219-121 | WI | Primary |
Addresses
Primary practice location
1126 S 70TH St Ste 112-3
West Allis, WI 53214-3124
Mailing address
2440 N 85TH St
Wauwatosa, WI 53226-1912
Phone (414) 475-1656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128219-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1558867416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 N 85TH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261912",
"telephone_number": "414-475-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 S 70TH ST STE 112-3",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532143124",
"telephone_number": "414-727-2789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELY",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-31",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "128219-121",
"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 Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.