Individual provider Active NPI

Mary Jo Caminiti, ACSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1760415160
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2501-123 Issued in WI
Practice address
229 E Wisconsin Ave
Suite 600
Milwaukee, WI 53202-4230
Phone
(424) 224-3737
Fax
(414) 224-3725
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2501-123 WI Primary

Addresses

Primary practice location

229 E Wisconsin Ave
Suite 600
Milwaukee, WI 53202-4230

Mailing address

229 E Wisconsin Ave
Suite 600
Milwaukee, WI 53202-4230
Phone (424) 224-3737

Other identifiers 1

IdentifierTypeStateIssuer
40964800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000077 WI Practitioner - Clinical Social Worker 6103851001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Consultants and Therapists SCGroup PAC ID 5092740985, 12 clinicians

Practice addresses (Care Compare)

229 E Wisconsin Ave
Suite 600
Milwaukee, WI 53202-4212
Phone (414) 224-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Consultants & Therapists, SC CurrentSince Sep 1, 2001 Accepting new patients

Locations

229 E Wisconsin Ave
Ste 60
Milwaukee, WI 53202
Phone (414) 224-3737

229 E Wisconsin Ave
Ste 600
Milwaukee, WI 53202
Phone (414) 224-3737

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1760415160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E WISCONSIN AVE",
            "address_2": "SUITE 600",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024230",
            "telephone_number": "424-224-3737",
            "fax_number": "414-224-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E WISCONSIN AVE",
            "address_2": "SUITE 600",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024230",
            "telephone_number": "424-224-3737",
            "fax_number": "414-224-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMINITI",
        "first_name": "MARY JO",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2501-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40964800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.