Paul Brian Zenisek, LCSW
Individual provider Active NPI Clinical Social Worker · Wauwatosa, WI
NPI 1851408751 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1851408751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3586-123 (WI)
- Practice address
- 1220 Dewey Ave
Dewey Center
Wauwatosa, WI 53213 - Phone
- (414) 454-6707
- Fax
- (414) 454-6747
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3586-123 | WI | MD | Clinical Social Worker |
Interoperability endpoints
- pzenisek60978@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3586-123 | WI | Yes |
Addresses
Primary practice location
1220 Dewey Ave
Dewey Center
Wauwatosa, WI 53213
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (414) 454-6707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40938100 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pzenisek60978@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Wauwatosa, WI
- Lori M Zahorodny
- Iftikhar Zaman
- Cristobal Zamora
- Alissa Zeglin
- Caroline Zehren
- Lisa Zentner
- Andrew Charles Zhang
- Ziting Zhang
- Amanda C Ziegeweid
- Zachary Evan Ziegler
All providers in Wauwatosa, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.