Fasd Communitties Dba Aloha Community Platteville LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

FASD COMMUNITTIES DBA ALOHA COMMUNITY PLATTEVILLE LLC

Practice address

7296 Bunker Ridge Rd
Platteville, WI 53818

Phone

(715) 252-7059

NPI assigned

Oct 27, 2017

Organization subpart

No

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

Authorized official

Name

James Douglas Klein, MSW

Title

Program Director

Phone

(715) 252-7059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1912419136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7296 BUNKER RIDGE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "715-252-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7296 BUNKER RIDGE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "715-252-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASD COMMUNITTIES DBA ALOHA COMMUNITY PLATTEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "715-252-7059",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger L. Elver, D.D.S.
• Anne Marie Evans, ATC, LAT
• Kaitlyn Evenstad
• David Jonathan Eversoll, RN REGISTERED NURSE
• Brianne Farrey, APNP, PMHNP-BC
• Ekaterina Fedorova, MD
• Ann Marie Fichtinger, MA
• Dayna Fiedler
• Michelle A. Fillman, LPN
• Find Your Way Counseling LLC

• All providers in Platteville, WI
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.