Active NPI
11:11 Courageous Wellbeing Collaborative
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1699685834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- 11:11 COURAGEOUS WELLBEING COLLABORATIVE
- Practice address
- 2513A S Kinnickinnic Ave
Milwaukee, WI 53207-1619 - Phone
- (920) 932-1013
- NPI assigned
- Sep 10, 2026
- Last updated
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lane Melanie Morein, LCSW
- Title
- Owner
- Phone
- (920) 932-1013
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2513A S Kinnickinnic Ave
Milwaukee, WI 53207-1619
Mailing address
2513A S Kinnickinnic Ave
Milwaukee, WI 53207-1619
Phone (920) 932-1013
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Milwaukee, WI
- NPI 1083556542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1699685834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513A S KINNICKINNIC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532071619",
"telephone_number": "920-932-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2513A S KINNICKINNIC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532071619",
"telephone_number": "920-932-1013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "11:11 COURAGEOUS WELLBEING COLLABORATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MOREIN",
"authorized_official_first_name": "LANE",
"authorized_official_middle_name": "MELANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-932-1013",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.