Nakoda Cognitive Behavioral Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2722 Issued in WI

Legal business name

NAKODA COGNITIVE BEHAVIORAL SERVICES, LLC

Practice address

204 E Capitol Dr
Suite 106
Milwaukee, WI 53212-1200

Phone

(414) 332-0886

Fax

(414) 332-0886

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Geri McFadden, LCSW

Title

President & Ceo

Phone

(414) 332-0886

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1679707152",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "204 EAST CAPITOL DRIVE",
            "address_2": "SUITE 106",
            "city": "MILWAUKEE",
            "state": "WISCONSIN",
            "postal_code": "53212",
            "telephone_number": "414-332-0886",
            "fax_number": "414-332-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CAPITOL DR",
            "address_2": "SUITE 106",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121200",
            "telephone_number": "414-332-0886",
            "fax_number": "414-332-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAKODA COGNITIVE BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "414-332-0886",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.