Individual provider Active NPI

Lillianna Louis Petsch-Horvath, MSW, APSW

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1861206054
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
135306-121 Issued in WI
Practice address
240 N Milwaukee St Ste 202
Milwaukee, WI 53202-5872
Phone
(262) 646-8288
NPI assigned
Feb 6, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 135306-121 WI Primary

Addresses

Primary practice location

240 N Milwaukee St Ste 202
Milwaukee, WI 53202-5872

Mailing address

3736 N Humboldt Blvd Apt 9
Milwaukee, WI 53212-1767

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

LicenseStateTypeSpecialty
135306-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Be the Change Health and Wellness, LLC Clinical CurrentSince Feb 9, 2025 Accepting new patients
Be the Change Global Wellness, Corp Clinical CurrentSince Feb 9, 2025 Accepting new patients

Locations

240 N Milwaukee St
Ste 202
Milwaukee, WI 53202
Phone (262) 646-8288

Organizations & group practices 2

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": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1861206054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 N HUMBOLDT BLVD APT 9",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N MILWAUKEE ST STE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532025872",
            "telephone_number": "262-646-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETSCH-HORVATH",
        "first_name": "LILLIANNA",
        "middle_name": "LOUIS",
        "credential": "MSW, APSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "135306-121",
            "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 Feb 6, 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.

Verify at the official NPI Registry.