Individual provider Active NPI

Adam Lee Wesner, LCSW

  • Clinical Social Worker
  • Union Grove, WI
National Provider Identifier
1619486776
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8720 Issued in WI
Practice address
21425 Spring St
Union Grove, WI 53182
Phone
(262) 878-7000
NPI assigned
Sep 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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 8720 WI Primary

Addresses

Primary practice location

21425 Spring St
Union Grove, WI 53182

Mailing address

21425 Spring St
Union Grove, WI 53182-9707
Phone (262) 878-7000

Other practice location 1

21425 Spring St
Union Grove, WI 53182
Phone (262) 878-7000

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
8720WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1619486776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21425 SPRING ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829707",
            "telephone_number": "262-878-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21425 SPRING ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "53182",
            "telephone_number": "262-878-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21425 Spring St",
            "address_purpose": "LOCATION",
            "city": "Union Grove",
            "state": "WI",
            "postal_code": "53182",
            "country_code": "US",
            "telephone_number": "262-878-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESNER",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.