Active NPI
Reina Takamura
- Social Worker
- West Allis, WI
National Provider Identifier
1750701520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128973-121
- Practice address
- 1455 S 97TH St
West Allis, WI 53214-4133 - Phone
- (414) 412-9229
- NPI assigned
- Apr 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 128973-121 | WI | Primary |
Addresses
Primary practice location
1455 S 97TH St
West Allis, WI 53214-4133
Mailing address
1455 S 97TH St
West Allis, WI 53214-4133
Phone (414) 412-9229
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128973-121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maplegrove Treatment Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- West Allis, WI
- NPI 1497171938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1750701520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 S 97TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532144133",
"telephone_number": "414-412-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 S 97TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532144133",
"telephone_number": "414-412-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKAMURA",
"first_name": "REINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "128973-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.