Active NPI
Jalateefa Joe-Meyers, APSW
- Clinical Social Worker
- Fitchburg, WI
National Provider Identifier
1972175016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 132305-121
- Practice address
- 2991 Yarmouth Greenway Dr
Ste 2
Fitchburg, WI 53711 - Phone
- (608) 665-1472
- Fax
- (608) 208-1916
- NPI assigned
- Jul 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 132305-121 | WI | Primary |
Addresses
Primary practice location
2991 Yarmouth Greenway Dr
Ste 2
Fitchburg, WI 53711
Mailing address
1026 W Main St
Sun Prairie, WI 53590-2040
Phone (608) 665-1472
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Sankofarecovery.org | Direct | Mental Health Collective, LLC |
| CONNECT URL | Sankofarecovery.org | Direct | Mental Health Collective, LLC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132305-121 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sankofa Educational Leadership United Company | Current | Accepting new patients |
Locations
1026 W Main St
Sun Prairie, WI 53590
Phone (608) 618-9977
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sun Prairie, WI
- NPI 1174240493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1972175016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 W MAIN ST",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902040",
"telephone_number": "608-665-1472",
"fax_number": "608-208-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2991 YARMOUTH GREENWAY DR",
"address_2": "STE 2",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "53711",
"telephone_number": "608-665-1472",
"fax_number": "608-208-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOE-MEYERS",
"first_name": "JALATEEFA",
"name_prefix": "Ms.",
"credential": "APSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "132305-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Sankofarecovery.org",
"affiliation": "Y",
"endpointDescription": "Culturally Responsive Mental Health Wellness Supports",
"affiliationName": "Mental Health Collective, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Sankofarecovery.org",
"address_1": "2991 Yarmouth Greenway Dr",
"address_2": "STE 2",
"city": "Fitchburg",
"state": "WI",
"country_code": "US",
"postal_code": "53711",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Sankofarecovery.org",
"affiliation": "Y",
"endpointDescription": "Website",
"affiliationName": "Mental Health Collective, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Jalateefa@sankofarecovery.org",
"address_1": "2991 Yarmouth Greenway Dr",
"address_2": "STE 2",
"city": "Fitchburg",
"state": "WI",
"country_code": "US",
"postal_code": "53711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.