Unknown Individual – Clinical Social Worker, NPI 1104849850
Clinical Social Worker
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
285, North Janacek Road, The Corners of Brookfield, Town of Brookfield, Waukesha County, Wisconsin, 53045, United States
BROOKFIELD, WI 530456102
Phone: (262) 641-9050
Fax: (262) 641-9126
Type: Mailing
West Brown Deer Road, Brown Deer, Milwaukee County, Wisconsin, 53217-2030, United States
SUITE 300A
BROWN DEER, WI 532231706
Phone: (414) 362-8147
Fax: (414) 362-7198
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 203 | 21 | $0 |
Insurance plans in this area (ZIP 53045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| - | WI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| General Practice | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Mental Health Counselor | WI | |
| Mental Health Counselor | WI |
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