Active NPI
Patricia Black-Evers, MSW
- Social Worker
- Milwaukee, WI
National Provider Identifier
1972740207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 126976-121
- Practice address
- VA Medical Ctr
5000 W. National Ave.
Milwaukee, WI 53295-0001 - Phone
- (414) 384-2000
- NPI assigned
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 15029-131 | WI | |
| Social Worker | 104100000X | 126976-121 | WI | Primary |
Addresses
Primary practice location
VA Medical Ctr
5000 W. National Ave.
Milwaukee, WI 53295-0001
Mailing address
VA Medical Ctr
5000 W. National Ave.
Milwaukee, WI 53295-0001
Phone (414) 384-2000
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 |
|---|---|---|---|
| 15029-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 126976-121 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1972740207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VA MEDICAL CTR",
"address_2": "5000 W. NATIONAL AVE.",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001",
"telephone_number": "414-384-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CTR",
"address_2": "5000 W. NATIONAL AVE.",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532950001",
"telephone_number": "414-384-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK-EVERS",
"first_name": "PATRICIA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15029-131",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "126976-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.