SALLY HARTMAN (NPI# 1497280440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497280440 |
| Entity Type | Individual |
| Full Name | SALLY HARTMAN |
| Credential | LCSW |
| Practice Address |
11211 W Lincoln Ave West Allis WI 53227-1035 |
| Mailing Address |
2870 Smith Ct Brookfield WI 53005-3544 |
| Practice Telephone | 2625023300 |
| Mailing Telephone | 2622277299 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3342-123 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669622403 | Sally J Hartman | Nurse Practitioner | 2700 S Lafayette St, Suite 200, Fort Wayne, IN 46806-1100 | 2008-09-30 |
| 1164958195 | Sally Hartman | Pharmacist | 875 Enfield St, Enfield, CT 06082-3617 | 2017-05-11 |
| Street Address |
11211 W LINCOLN AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253609 | Melanie Klawitter | Nurse Practitioner | 11211 W Lincoln Ave, West Allis, WI 53227-1035 | 2020-04-15 |
| 1356820476 | Jaymie Lynn Gehring | Registered Nurse | 11211 W Lincoln Ave, West Allis, WI 53227-1035 | 2018-08-09 |
| 1154873669 | Alyssa Tennies | Nurse Practitioner | 11211 W Lincoln Ave, West Allis, WI 53227-1035 | 2016-10-31 |
| 1861835365 | Keisha Denise Rogers | Family Medicine | 11211 W Lincoln Ave, West Allis, WI 53227-1035 | 2013-04-15 |
| 1841587029 | Jessica Helen Altis | Physician Assistant | 11211 W Lincoln Ave, Lincoln Avenue Clinic, West Allis, WI 53227-1035 | 2011-07-07 |
| 1285896340 | Amanda Mae Fuchs | Physician Assistant | 11211 W Lincoln Ave, Lincoln Avenue Clinic, West Allis, WI 53227-1035 | 2008-06-30 |
| 1407899552 | William H Annesley Jr. | Urology | 11211 W Lincoln Ave, Lincoln Avenue Clinic, West Allis, WI 53227-1035 | 2006-06-14 |
| 1770536534 | David E Pryba | Internal Medicine | 11211 W Lincoln Ave, Lincoln Avenue Clinic, West Allis, WI 53227-1035 | 2006-05-19 |
| 1528010238 | Joan L Milott | Internal Medicine | 11211 W Lincoln Ave, Lincoln Avenue Clinic, West Allis, WI 53227-1035 | 2006-05-17 |
| 1598716342 | Michael J Lasser | Obstetrics & Gynecology | 11211 W Lincoln Ave, Lincoln Avenue Clinic, West Allis, WI 53227-1035 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932671849 | River of Change Counseling and Life Coaching Services Inc. | Social Worker | 6767 W Greenfield Ave Ste Ll1, West Allis, WI 53214-4967 | 2018-12-18 |
| 1063819803 | Jerry Kahn | Social Worker | 10150 W National Ave Ste 370, West Allis, WI 53227-2152 | 2014-11-21 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| 1255582771 | Maria E Lozano | Social Worker | 1126 S, 70th Street, Suite S-507, West Allis, WI 53214 | 2008-10-02 |
| 1407069826 | Robert C Rockey | Social Worker | 2363 S. 102nd Street, Suite#203, West Allis, WI 53227 | 2007-05-08 |
| 1477609907 | Kathy Corlett Dahlk | Social Worker | 2363 S 102nd Street, Suite #203, West Allis, WI 53227 | 2007-01-26 |
| 1467514828 | Alice A Mackey | Social Worker | 1126 S 70th St Suite 121, West Allis, WI 53214-2406 | 2006-12-14 |
| 1326515321 | Amy Ann Kuhagen | Social Worker | 1126 S 70th St, West Allis, WI 53214-3151 | 2018-10-28 |
| 1891208864 | Ashly Marie Witkowiak | Social Worker | 10201 W Lincoln Ave Ste 106, West Allis, WI 53227-2136 | 2017-11-13 |
| 1598289050 | Nathaniel Holmes Brown | Social Worker | 932 S 60th St, West Allis, WI 53214-3369 | 2017-07-26 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.