Nanette Denise Counsell-Wilke, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2506-123 Issued in WI

Practice address

N116 W16150 Main Street
Germantown, WI 53022

Phone

(262) 253-9420

Fax

(262) 532-2447

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stress Management & Mental Health Clinics Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Allis, WI
  • NPI 1003928391
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1750492971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 W LINCOLN AVE",
            "address_2": "SUITE 308",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272136",
            "telephone_number": "414-329-7000",
            "fax_number": "414-329-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N116 W16150 MAIN STREET",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "53022",
            "telephone_number": "262-253-9420",
            "fax_number": "262-532-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNSELL-WILKE",
        "first_name": "NANETTE",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2506-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39636500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Elizabeth Cohen
• Kelly Cole, PA-C
• Community Home Care Services
• Clare Anna Conlisk-Bobula, LPC
• Amanda Nicole Cooper, M.D.
• Countryview Group Homes LLC
• Sheryl A Cowling, LCSW
• Jennifer L Curro, D.C.
• Thomas Nicholas Czarnecki Jr., DPM
• Daniel J Czelatdko, RPH

• Social Worker in Germantown, WI
• Providers in Germantown, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.