Active NPI
Tracey Jolene Sischo, APSW, SAC-IT
- Social Worker
- Racine, WI
National Provider Identifier
1942114616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 135739-121
- Practice address
- 4036 N Main St Apt B4
Racine, WI 53402-3129 - Phone
- (920) 420-2483
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20728-130 | WI | |
| Social Worker | 104100000X | 135739-121 | WI | Primary |
Addresses
Primary practice location
4036 N Main St Apt B4
Racine, WI 53402-3129
Mailing address
4036 N Main St Apt B4
Racine, WI 53402-3129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1942114616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4036 N MAIN ST APT B4",
"city": "RACINE",
"state": "WI",
"postal_code": "534023129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4036 N MAIN ST APT B4",
"city": "RACINE",
"state": "WI",
"postal_code": "534023129",
"telephone_number": "920-420-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISCHO",
"first_name": "TRACEY",
"middle_name": "JOLENE",
"credential": "APSW, SAC-IT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "20728-130",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "135739-121",
"primary": true
}
],
"identifiers": [],
"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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.