Carly Klein, APSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11247-123 Issued in WI

Practice address

1219 N Cass St
Milwaukee, WI 53202-2770

Phone

(414) 291-9487

NPI assigned

Nov 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1891237582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N CASS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022770",
            "telephone_number": "414-291-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N CASS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022770",
            "telephone_number": "414-291-9487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2643 N Downer Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114245",
            "country_code": "US",
            "telephone_number": "262-951-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 N 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806319584",
            "country_code": "US",
            "telephone_number": "970-347-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "CARLY",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19808130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11247-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita P Klein-Tasman, PH.D.
• Abigail Marie Klein
• Alberta Marie Klein, M.D.
• Andrew Paul Klein, M.D.
• Caleb Klein, DPT
• Ellen L. Klein, LPC, MS
• Erin Klein
• Gretchen Barbara Klein, APSW
• Katelynne Independence Klein
• Linda J Klein, OTR

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.