Individual provider Active NPI

Pattilynn Costanzo Barrett, LCSW

  • Clinical Social Worker
  • West Allis, WI
National Provider Identifier
1932080892
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12597-123 Issued in WI
Practice address
1442 S 92ND St
West Allis, WI 53214-4235
Phone
(414) 731-7452
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 12597-123 WI Primary

Addresses

Primary practice location

1442 S 92ND St
West Allis, WI 53214-4235

Mailing address

2009 N 56TH St
Milwaukee, WI 53208-1609

Other practice location 1

811 E Washington Ave Ste 400
Madison, WI 53703-4028
Phone (323) 205-7088

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
I20251210002925 WI Practitioner - Clinical Social Worker 2769976497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Wisconsin School of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2009 N 56TH St
Milwaukee, WI 53208-1609

5669 Blanch Fields LN
Lucama, NC 27851-8821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12597-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gibwater Enterprises LLC Professional CurrentSince Oct 15, 2025 Accepting new patients

Locations

1442 S 92nd St
West Allis, WI 53214
Phone (414) 378-8085

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": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1932080892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 N 56TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 S 92ND ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144235",
            "telephone_number": "414-731-7452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 E Washington Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537034028",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "PATTILYNN",
        "middle_name": "COSTANZO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "12597-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.