Individual provider Active NPI

Robert C Hugl, LCSW

  • Clinical Social Worker
  • Greenfield, WI
National Provider Identifier
1871611160
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
538-123 Issued in WI
Practice address
4811 S 76TH St
Suite 401
Greenfield, WI 53220-4364
Phone
(414) 325-7741
Fax
(414) 325-7753
NPI assigned
Mar 26, 2007
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 538-123 WI Primary

Addresses

Primary practice location

4811 S 76TH St
Suite 401
Greenfield, WI 53220-4364

Mailing address

4811 S 76TH St
Suite 401
Greenfield, WI 53220-4364
Phone (414) 325-7741

Other identifiers 3

IdentifierTypeStateIssuer
538-123OtherWILICENSED CLINICAL SOCIAL
39613400MedicaidWI
391651491014OtherWIBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170406001721 WI Practitioner - Clinical Social Worker 6406132471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4811 S 76TH St
Suite 305
Greenfield, WI 53220-4364
Phone (414) 325-7741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
538-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Therapeutic Systems S.C. Clinical CurrentSince Feb 25, 2017 Accepting new patients

Locations

4811 S 76th St
Ste 305
Milwaukee, WI 53220
Phone (414) 325-7741

4811 S 76th St
Ste 401
Milwaukee, WI 53220
Phone (414) 325-7741

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1871611160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST",
            "address_2": "SUITE 401",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-325-7741",
            "fax_number": "414-325-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST",
            "address_2": "SUITE 401",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-325-7741",
            "fax_number": "414-325-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGL",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "538-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL",
            "identifier": "538-123",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39613400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "391651491014",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.