Individual provider Active NPI

Susan Kay Sevenz, MS, CISW

  • Social Worker
  • Hartland, WI
National Provider Identifier
1568741593
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
358-122 Issued in WI
Practice address
300 Cottonwood Ave
Suite 4
Hartland, WI 53029-2043
Phone
(262) 367-2699
Fax
(262) 367-5228
NPI assigned
Aug 8, 2011
Last updated
Aug 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 358-122 WI Primary

Addresses

Primary practice location

300 Cottonwood Ave
Suite 4
Hartland, WI 53029-2043

Mailing address

300 Cottonwood Ave
Suite 4
Hartland, WI 53029-2043
Phone (262) 367-2699

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
358-122WIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1568741593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COTTONWOOD AVE",
            "address_2": "SUITE 4",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292043",
            "telephone_number": "262-367-2699",
            "fax_number": "262-367-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COTTONWOOD AVE",
            "address_2": "SUITE 4",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292043",
            "telephone_number": "262-367-2699",
            "fax_number": "262-367-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVENZ",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MS,  CISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "358-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.