Individual provider Active NPI

Morgyn Steinbrecher, LCSW,

  • Clinical Social Worker
  • Mequon, WI
National Provider Identifier
1669715264
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8419-123 Issued in WI
Practice address
1035 W Glen Oaks LN Ste 110
Mequon, WI 53092-3394
Phone
(262) 999-3495
NPI assigned
Apr 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8419-123 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15805131 WI

Addresses

Primary practice location

1035 W Glen Oaks LN Ste 110
Mequon, WI 53092-3394

Mailing address

5303 W North Ave
Milwaukee, WI 53208-1021
Phone (414) 445-0997

Other practice location 1

5303 W North Ave
Milwaukee, WI 53208
Phone (414) 445-0997 ext. 105

Other identifiers 1

IdentifierTypeStateIssuer
100029101MedicaidWI

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
I20200918000042 WI Practitioner - Clinical Social Worker 2860810124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15805131WIMDAddiction (Substance Use Disorder) Counselor
8419-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Services and Pharmacotherapy, SC CurrentSince Jul 1, 2020 Accepting new patients
Addiction Services and Pharmacotherapy, SC CurrentSince Jul 1, 2020 Accepting new patients
Addiction Services and Pharmacotherapy, SC Current Accepting new patients
Northern Crossing Behavioral Health Services, LLC Past Accepting new patients
Northern Crossing Behavioral Health Services, LLC Past Accepting new patients

Locations

210 E Olin Ave
Madison, WI 53713
Phone (608) 807-1428

11390 W Theodore Trecker Way
West Milwaukee, WI 53214
Phone (414) 928-1401

Organizations & group practices 5

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1669715264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081021",
            "telephone_number": "414-445-0997",
            "fax_number": "414-445-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W GLEN OAKS LN STE 110",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923394",
            "telephone_number": "262-999-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5303 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53208",
            "country_code": "US",
            "telephone_number": "414-445-0997 x105",
            "fax_number": "414-445-0989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINBRECHER",
        "first_name": "MORGYN",
        "credential": "LCSW,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8419-123",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15805131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100029101",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.