Individual provider Active NPI

Kathy Obryant, MSSW

  • Social Worker
  • Milwaukee, WI
National Provider Identifier
1871899641
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
944122 Issued in WI
Practice address
1934A N 2ND St
Milwaukee, WI 53212-3709
Phone
(414) 915-1683
NPI assigned
Jan 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 944122 WI Primary

Addresses

Primary practice location

1934A N 2ND St
Milwaukee, WI 53212-3709

Mailing address

1934A N 2ND St
Milwaukee, WI 53212-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA, MI, IL, WA, KS6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20130418000139 WI Practitioner - Clinical Social Worker 4385880301 Reassigns benefits to 2 organizations
I20240905002090 IA Practitioner - Clinical Social Worker 4385880301 Reassigns benefits to 1 organization
I20241003001010 MI Practitioner - Clinical Social Worker 4385880301 Reassigns benefits to 1 organization
I20241009000302 IL Practitioner - Clinical Social Worker 4385880301 Reassigns benefits to 1 organization
I20250214002777 WA Practitioner - Clinical Social Worker 4385880301 Reassigns benefits to 1 organization
I20260127002933 KS Practitioner - Clinical Social Worker 4385880301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians
Blue Moon Senior Counseling of Illinois LLCGroup PAC ID 7012172893, 30 clinicians
BMSC Mi LLCGroup PAC ID 3779892492, 7 clinicians

Practice addresses (Care Compare)

West Branch, IA 52358
Phone (855) 241-7160

Verona, WI 53593
Phone (855) 241-7160

Leavenworth, WA 98826
Phone (509) 433-7698

10204 Bode St
Suite C
Plainfield, IL 60585-9813
Phone (630) 896-7160

6117 Charlevoix Woods Court SE
Grand Rapids, MI 49546-8505
Phone (855) 241-7160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
944122WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Moon Senior Counseling of Illinois LLC CurrentSince Aug 22, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince May 15, 2016 Accepting new patients
BMSC Az LLC CurrentSince Apr 26, 2024 Accepting new patients
BMSC Mi LLC CurrentSince Aug 20, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince May 15, 2016 Accepting new patients
Apps Chiropractic and Wellness Center Inc Past Accepting new patients
Achievement Associates, LTD Past Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

6117 Charlevoix Woods Ct SE
Grand Rapids, MI 49546
Phone (616) 954-2366

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 7

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": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1871899641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934A N 2ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934A N 2ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123709",
            "telephone_number": "414-915-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRYANT",
        "first_name": "KATHY",
        "name_prefix": "Dr.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "944122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.