Supportive Community Services, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

2192-800 Issued in WI

Legal business name

SUPPORTIVE COMMUNITY SERVICES, INC.

Practice address

1126 S 70TH St Ste S106
West Allis, WI 53214-3159

Phone

(414) 475-2666

Fax

(414) 475-2670

NPI assigned

Aug 7, 2008

Organization subpart

No

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

Authorized official

Name

Dan Langenwalter

Title

Executive Director

Phone

(414) 475-2666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1760638951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S 70TH ST STE S106",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143159",
            "telephone_number": "414-475-2666",
            "fax_number": "414-475-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S 70TH ST STE S106",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143159",
            "telephone_number": "414-475-2666",
            "fax_number": "414-475-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "LANGENWALTER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-475-2666"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "2192-800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Sucher, M.D.
• Travis J Sullivan, CRNA
• Adrienne Sulma
• Kieran Sultan-Lundeen, M.D.
• Tamara D Summerville
• Douglas E. Sveda, MSW
• Melissa I Swainston, FNP
• Andrew P Swietlik, MD
• Stacy Michelle Syrcle, MD
• Amanda G Szarzynski, PH.D, LMFT

• Case Management Agency in West Allis, WI
• Providers in West Allis, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.