Active NPI
Amy Morgan-Tautges, LCSW
- Clinical Social Worker
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7662-123
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7662-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellqor Psychological Services, PC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.