Active NPI
Kimberly Howard
- Clinical Social Worker
- Wauwatosa, WI
National Provider Identifier
1851009898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6650 W State St Unit D143
Wauwatosa, WI 53213-2827 - Phone
- (414) 301-3145
- Fax
- (414) 296-0093
- NPI assigned
- Nov 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 130835 | WI | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6650 W State St Unit D143
Wauwatosa, WI 53213-2827
Mailing address
5464 N Port Washington Rd Ste C103
Milwaukee, WI 53217-4925
Phone (414) 301-3145
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 |
|---|---|---|---|
| 130835 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Renewal Psychotherapy | Clinical | Current | Accepting new patients |
Locations
6650 W State St
Unit D143
Wauwatosa, WI 53213
Phone (414) 301-3145
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": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1851009898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5464 N PORT WASHINGTON RD STE C103",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532174925",
"telephone_number": "414-301-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 W STATE ST UNIT D143",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132827",
"telephone_number": "414-301-3145",
"fax_number": "414-296-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "130835",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.