Individual provider Active NPI

Margaret Tungseth, LCSW

  • Clinical Social Worker
  • Racine, WI
National Provider Identifier
1891848099
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
387-123 Issued in WI
Practice address
6233 Durand Ave
Suite F
Racine, WI 53406-4961
Phone
(262) 554-8165
Fax
(262) 554-8152
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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 387-123 WI Primary

Addresses

Primary practice location

6233 Durand Ave
Suite F
Racine, WI 53406-4961

Mailing address

6233 Durand Ave
Suite F
Racine, WI 53406-4961
Phone (262) 554-8165

Other identifiers 1

IdentifierTypeStateIssuer
39556800MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
387-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tungseth Psychotherapy Clinic LLC Clinical PastSince Jun 3, 2004 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1891848099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 DURAND AVE",
            "address_2": "SUITE F",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064961",
            "telephone_number": "262-554-8165",
            "fax_number": "262-554-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 DURAND AVE",
            "address_2": "SUITE F",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064961",
            "telephone_number": "262-554-8165",
            "fax_number": "262-554-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNGSETH",
        "first_name": "MARGARET",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "387-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39556800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.