Active NPI
County of Walworth
Doing business as Walworth County Department of Health and Human Services
- Community/Behavioral Health Agency
- Elkhorn, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COUNTY OF WALWORTH
- Doing business as
- Walworth County Department of Health and Human Services
- Practice address
- 1910 County Road NN
Elkhorn, WI 53121-4454 - Phone
- (262) 741-3200
- Fax
- (262) 741-3217
- NPI assigned
- Feb 3, 2010
- Last updated
- Aug 28, 2023
- Organization subpart
- Yes
- Parent organization
- COUNTY OF WALWORTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlo Jon Nevicosi, MSW, LCSW
- Title
- Director
- Phone
- (262) 741-3223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1910 County Road NN
Elkhorn, WI 53121-4454
Mailing address
PO Box 1005
Elkhorn, WI 53121-1005
Phone (262) 741-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100038400 | Medicaid | WI |
Other names 1
- Walworth County Department of Health and Human Services
National Provider Directory
National Provider Directory- Tax ID family
- Walworth County - Lakeland School
- Part of
- Walworth County - Lakeland School
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Walworth County Department of Health and Human Services
- Community/Behavioral Health Agency
- Elkhorn, WI
- NPI 1114447455
-
dba Walworth County Department of Health and Human Services
- Case Management Agency
- Elkhorn, WI
- NPI 1205914967
-
dba Walworth County Department of Health and Human Services
- State or Local Public Health Clinic/Center
- Elkhorn, WI
- NPI 1265944573
-
dba Walworth County Department of Health and Human Services
- Primary Care Clinic/Center
- Elkhorn, WI
- NPI 1548348311
-
dba Walworth County Department of Health and Human Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Elkhorn, WI
- NPI 1588733307
-
dba Lakeland Health Care Center
- Skilled Nursing Facility
- Elkhorn, WI
- NPI 1699767905
-
dba Walworth County Department of Health and Human Services
- Community/Behavioral Health Agency
- Elkhorn, WI
- NPI 1710189196
-
dba Walworth County Department of Health and Human Services
- Rehabilitation Clinic/Center
- Elkhorn, WI
- NPI 1841443926
-
dba Walworth County Department of Health and Human Services
- Social Worker
- Elkhorn, WI
- NPI 1881931608
-
dba Walworth County Department of Health and Human Services
- Case Management Agency
- Elkhorn, WI
- NPI 1932287612
-
dba Walworth County Department of Health and Human Services
- Community/Behavioral Health Agency
- Elkhorn, WI
- NPI 1942364724
-
dba Walworth County Department of Health and Human Services
- Dental Assistant
- Elkhorn, WI
- NPI 1952618043
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Elkhorn, WI
- NPI 1245260033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1942532759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1005",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531211005",
"telephone_number": "262-741-3200",
"fax_number": "262-741-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 COUNTY ROAD NN",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214454",
"telephone_number": "262-741-3200",
"fax_number": "262-741-3217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF WALWORTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF WALWORTH",
"enumeration_date": "2010-02-03",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A",
"authorized_official_last_name": "NEVICOSI",
"authorized_official_first_name": "CARLO",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "262-741-3223",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100038400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Walworth County Department of Health and Human Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Walworth County Department of Health and Human Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elkhorn, WI
- County of Walworth (Walworth County Department of Health and Human Services)
- County of Walworth (Walworth County Department of Health and Human Services)
- County of Walworth (Walworth County Department of Health and Human Services)
- County of Walworth (Walworth County Department of Health and Human Services)
- County of Walworth (Walworth County Department of Health and Human Services)
- County of Walworth (Walworth County Department of Health and Human Services)
- Credence Therapy Associates Inc (Credence Therapy Associates)
- Holly Crowley, PA-C
- Roberta Cummings, LPN
- Janine B Curtin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.