MS. M JAN GOETTEN (NPI# 1689789638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689789638 |
| Entity Type | Individual |
| Full Name | MS. M JAN GOETTEN |
| Credential | LCSW |
| Practice Address |
1220 Dewey Ave Dewey Center Wauwatosa WI 53213 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 4144546707 |
| Practice Fax Number | 4144546747 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6944-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39368300 | 05 |
| Street Address |
1220 DEWEY AVE DEWEY CENTER |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083696736 | Ikar Jaksa Kalogjera | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2005-11-17 |
| 1407464118 | Geoffrey B Watters | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-07-20 |
| 1497381818 | Frances Clouse | Pharmacist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2020-03-17 |
| 1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
| 1952951402 | Christine D Schubring | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-09-17 |
| 1043864242 | Brooke E Muggenthaler | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-07-26 |
| 1225510001 | Reuel Kagamba Muiruri | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-29 |
| 1437638830 | Lori L Unger | Registered Nurse | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-07 |
| 1033697644 | Christine S Schultz | Social Worker | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-08-06 |
| 1205335957 | Ivana Spaciel | Nurse Practitioner | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2018-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| 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 |
|---|---|---|---|---|
| 1174038954 | Shannon Marie James | Social Worker | 9730 W Bluemound Rd Ste 11, Wauwatosa, WI 53226-4455 | 2017-12-03 |
| 1922521186 | Two Willows Counseling LLC | Social Worker | 933 N Mayfair Rd Ste 315, Wauwatosa, WI 53226-3432 | 2017-07-19 |
| 1093131237 | Sarah Carson | Social Worker | 10012 W Capitol Dr Ste 101, Wauwatosa, WI 53222-1300 | 2014-03-12 |
| 1922441047 | Carolyn J Ruck | Social Worker | 10855 W Potter Rd Ste 25, Wauwatosa, WI 53226-3439 | 2013-04-08 |
| 1154696797 | Meghan P Bahr | Social Worker | 1220 Dewey Ave Bldg 13, Wauwatosa, WI 53213-2504 | 2012-03-15 |
| 1134446362 | Russell S Strelnick | Social Worker | 7117 Cedar Street, Wauwatosa, WI 53213-3714 | 2010-04-28 |
| 1548418775 | Amy Elizabeth Leidel | Social Worker | 2645 North Mayfair Road Suite 250, Wauwatosa, WI 53226 | 2008-08-29 |
| 1417167586 | Elizabeth Ann Hunkins | Social Worker | 1011 N Mayfair Rd Ste 304, Wauwatosa, WI 53226-3431 | 2007-05-23 |
| 1912126228 | Erin Meighan | Social Worker | 1220 Dewey Ave # 13, Wauwatosa, WI 53213-2504 | 2007-04-25 |
| 1770603847 | Bernard Fluhr | Social Worker | 2600 N Mayfair Rd Ste 650, Wauwatosa, WI 53226-1322 | 2007-03-30 |
| Find all providers in WAUWATOSA | ||||
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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.