Active NPI
David Scott Drajkowski, MSW, LCSW
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1598815250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6810-123
- Practice address
- 216 N Water St
2
Milwaukee, WI 53202-5762 - Phone
- (414) 223-4000
- Fax
- (414) 223-2660
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6810-123 | WI | Primary |
Addresses
Primary practice location
216 N Water St
2
Milwaukee, WI 53202-5762
Mailing address
2128 S 67TH PL
West Allis, WI 53219-1307
Phone (414) 545-2913
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6810-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Clinic & Consultants, Inc. | Past | Accepting new patients | |
| Erc Wisconsin, LLC | Past | Accepting new patients | |
| Mary Determan MSW, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Wauwatosa, WI
- NPI 1730853870
-
- Clinical Social Worker
- Milwaukee, WI
- NPI 1861524365
-
- Community/Behavioral Health Agency
- Cedarburg, WI
- NPI 1720201163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598815250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 S 67TH PL",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532191307",
"telephone_number": "414-545-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 N WATER ST",
"address_2": "2",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532025762",
"telephone_number": "414-223-4000",
"fax_number": "414-223-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAJKOWSKI",
"first_name": "DAVID",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "6810-123",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.