John Gilane, LCSW, CSAC, ICS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6672-123 Issued in WI

Practice address

11512 N Port Washington Rd
Mequon, WI 53092-3453

Phone

(262) 844-5758

NPI assigned

Aug 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1720336688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 NORTHWOODS LN",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530749785",
            "telephone_number": "262-844-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923453",
            "telephone_number": "262-844-5758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9415 W Forest Home Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Hales Corners",
            "state": "WI",
            "postal_code": "531301680",
            "country_code": "US",
            "telephone_number": "414-427-4884",
            "fax_number": "414-427-4889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILANE",
        "first_name": "JOHN",
        "credential": "LCSW, CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "2306-132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6672-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hutan Ghojallu, D.C.
• Paul M Gibeau, PSYD
• Danyale Giemza
• Erin Giese
• Mariah Giesseman
• Whitney Gilbert, LCSW
• Stephen Andrew Gilbertson, LIC PSYCHOLOGIST
• Jerome William Gildner, DDS
• Ashley Elizabeth Gill
• Kim Ann Glaser, MS CCC-SLP

• Clinical Social Worker in Mequon, WI
• Providers in Mequon, 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 Mar 1, 2020; 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.