Individual provider Active NPI

James H Hishmeh Jr., LCSW, CSAC, CSIT

  • Clinical Social Worker
  • Oconomowoc, WI
National Provider Identifier
1598230484
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9016-123 Issued in WI
Practice address
830 Armour Rd Ste 2
Oconomowoc, WI 53066-3959
Phone
(262) 578-5545
NPI assigned
Oct 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9016-123 WI Primary

Addresses

Primary practice location

830 Armour Rd Ste 2
Oconomowoc, WI 53066-3959

Mailing address

830 Armour Rd Ste 2
Oconomowoc, WI 53066-3959
Phone (262) 578-5545

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206000213 WI Practitioner - Clinical Social Worker 3476897109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1598230484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 ARMOUR RD STE 2",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663959",
            "telephone_number": "262-578-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ARMOUR RD STE 2",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663959",
            "telephone_number": "262-578-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISHMEH",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "LCSW, CSAC, CSIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9016-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

Verify at the official NPI Registry.