Individual provider Active NPI

Emily Norene Brownfield

  • Clinical Social Worker
  • Sussex, WI
National Provider Identifier
1619647526
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11644 Issued in WI
Practice address
N64W24050 Main St Ste 100
Sussex, WI 53089-3000
Phone
(262) 806-8527
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 11644 WI Primary

Addresses

Primary practice location

N64W24050 Main St Ste 100
Sussex, WI 53089-3000

Mailing address

N64W24050 Main St Ste 100
Sussex, WI 53089-3000
Phone (262) 806-8527

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Other names 1

  • Emily Norene Salamone Former name

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
11644WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish Your Soul Counseling Clinical CurrentSince Jun 23, 2024 Accepting new patients

Locations

N64W24050 Main St
Ste 100
Sussex, WI 53089
Phone (262) 246-4405

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1619647526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N64W24050 MAIN ST STE 100",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893000",
            "telephone_number": "262-806-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N64W24050 MAIN ST STE 100",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893000",
            "telephone_number": "262-806-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNFIELD",
        "first_name": "EMILY",
        "middle_name": "NORENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SALAMONE",
            "middle_name": "NORENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.