Organization Active NPI

Middle Coast Therapy LLC

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1730833146
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIDDLE COAST THERAPY LLC
Practice address
2321 E Capitol Dr
Milwaukee, WI 53211-2119
Phone
(414) 367-9111
Fax
(414) 355-9665
NPI assigned
Feb 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Authorized official

Name
Mr. Andrew M.L. Silverman, LCSWNPI 1699424127
Title
President
Phone
(414) 367-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2321 E Capitol Dr
Milwaukee, WI 53211-2119

Mailing address

2118A N Cambridge Ave
Milwaukee, WI 53202-1014
Phone (414) 367-9111

National Provider Directory

National Provider Directory

Locations

2321 E Capitol Dr
Shorewood, WI 53211
Phone (414) 367-9111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644019200000",
    "number": "1730833146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118A N CAMBRIDGE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021014",
            "telephone_number": "414-367-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 E CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112119",
            "telephone_number": "414-367-9111",
            "fax_number": "414-355-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE COAST THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M.L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-367-9111",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.