Assured Clinical Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

8053 Issued in WI

Legal business name

ASSURED CLINICAL SERVICES, LLC

Practice address

1845 N Farwell Ave
Suite 203
Milwaukee, WI 53202-1793

Phone

(414) 810-2715

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Candace E Coates, MSWNPI 1396179149

Title

Therapist

Phone

(414) 810-2715

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace E Coates

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1396179149
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1861840233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14781",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532140781",
            "telephone_number": "414-810-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N FARWELL AVE",
            "address_2": "SUITE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021793",
            "telephone_number": "414-810-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "414-810-2715",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "8053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.