Individual provider Active NPI

Tracey Lee Stanislawski, EDD, MSW, APSW

  • Social Worker
  • Milwaukee, WI
National Provider Identifier
1598560419
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
135342121 Issued in WI
Practice address
1300 N Jackson St
Milwaukee, WI 53202-2602
Phone
(414) 916-3759
NPI assigned
Feb 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 135342121 WI Primary

Addresses

Primary practice location

1300 N Jackson St
Milwaukee, WI 53202-2602

Mailing address

3612 S 157TH St
New Berlin, WI 53151-5104
Phone (414) 916-3759

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

LicenseStateTypeSpecialty
135342121WIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1598560419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 S 157TH ST",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515104",
            "telephone_number": "414-916-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N JACKSON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022602",
            "telephone_number": "414-916-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANISLAWSKI",
        "first_name": "TRACEY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "EDD, MSW, APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "135342121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.