Individual provider Active NPI

Amy Morgan-Tautges, LCSW

  • Clinical Social Worker
  • Brookfield, WI
National Provider Identifier
1760882138
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7662-123 Issued in WI
Practice address
12720 W North Ave
Building B - Suite 200
Brookfield, WI 53005
Phone
(414) 403-8036
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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 7662-123 WI Primary

Addresses

Primary practice location

12720 W North Ave
Building B - Suite 200
Brookfield, WI 53005

Mailing address

12720 W North Ave
Building B - Suite 200
Brookfield, WI 53005-4637
Phone (414) 403-8036

Other names 1

  • Amy Morgan Former name

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
I20160121000778 WI Practitioner - Clinical Social Worker 5294038444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7662-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services, PC Clinical CurrentSince Aug 2, 2023 Accepting new patients

Locations

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

1105 Davidson Rd
Brookfield, WI 53045
Phone (216) 772-7030

289 Saint Joseph St
Green Bay, WI 54301
Phone (920) 435-2729

345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201

3800 N 92nd St
Milwaukee, WI 53222
Phone (414) 463-7570

111 Owen Rd
Monona, WI 53716
Phone (608) 441-9990

8772 S Mayhew Dr
Oak Creek, WI 53154
Phone (262) 220-3574

7800 N Green Bay Rd
River Hills, WI 53217
Phone (414) 255-1523

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1760882138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 W NORTH AVE",
            "address_2": "BUILDING B - SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054637",
            "telephone_number": "414-403-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 W NORTH AVE",
            "address_2": "BUILDING B - SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "414-403-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN-TAUTGES",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7662-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MORGAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.