Active NPI
Beth Ann Esser
- Social Worker
- West Bend, WI
National Provider Identifier
1821286105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9212-120
- Practice address
- 1622 Chestnut St
West Bend, WI 53095-3014 - Phone
- (262) 338-9498
- Fax
- (262) 338-9506
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15380-131 | WI | |
| Social Worker | 104100000X | 9212-120 | WI | Primary |
Addresses
Primary practice location
1622 Chestnut St
West Bend, WI 53095-3014
Mailing address
285 N Janacek Rd
Brookfield, WI 53045-6102
Phone (262) 641-9050
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 |
|---|---|---|---|
| 15380-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 9212-120 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1821286105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 N JANACEK RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530456102",
"telephone_number": "262-641-9050",
"fax_number": "262-641-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 CHESTNUT ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530953014",
"telephone_number": "262-338-9498",
"fax_number": "262-338-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSER",
"first_name": "BETH ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15380-131",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "9212-120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.