Active NPI
Laurie Ellen Moeckler, MSW-CISW
- Social Worker
- Milwaukee, WI
National Provider Identifier
1831223957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 81-122
- Practice address
- 6040 W Lisbon Ave
Suite 102
Milwaukee, WI 53210-2116 - Phone
- (414) 871-9111
- Fax
- (414) 871-9121
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 81-122 | WI | Primary |
Addresses
Primary practice location
6040 W Lisbon Ave
Suite 102
Milwaukee, WI 53210-2116
Mailing address
7383 N Braeburn LN
Glendale, WI 53209-2013
Phone (414) 405-3433
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 |
|---|---|---|---|
| 81-122 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831223957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7383 N BRAEBURN LN",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532092013",
"telephone_number": "414-405-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 W LISBON AVE",
"address_2": "SUITE 102",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532102116",
"telephone_number": "414-871-9111",
"fax_number": "414-871-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOECKLER",
"first_name": "LAURIE",
"middle_name": "ELLEN",
"credential": "MSW-CISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "81-122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.