Active NPI
Pamela Hauke
- Clinical Social Worker
- Mount Pleasant, WI
National Provider Identifier
1750409009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7187-123
- Practice address
- 6232 Bankers Rd Lowr Level
Mount Pleasant, WI 53403-9747 - Phone
- (262) 583-0137
- Fax
- (262) 583-0097
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12150 | WI | |
| Clinical Social Worker | 1041C0700X | 7187-123 | WI | Primary |
Addresses
Primary practice location
6232 Bankers Rd Lowr Level
Mount Pleasant, WI 53403-9747
Mailing address
730 Sheridan Rd Apt 203
Kenosha, WI 53140-1181
Phone (262) 914-0507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11013500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12150 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 7187-123 | WI | MD | Clinical Social Worker |
| 7187 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1750409009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 SHERIDAN RD APT 203",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531401181",
"telephone_number": "262-914-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6232 BANKERS RD LOWR LEVEL",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534039747",
"telephone_number": "262-583-0137",
"fax_number": "262-583-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUKE",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "12150",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7187-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11013500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.