LACEY KIMPEL (NPI# 1285010009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285010009 |
| Entity Type | Individual |
| Full Name | LACEY KIMPEL |
| Credential | APSW -SA, SAC-IT |
| Practice Address |
4800 S 10th St Milwaukee WI 53221-2412 |
| Mailing Address |
1015 N. 10th St. Milwaukee WI 53205 |
| Practice Telephone | 4147445370 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2017-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
130311-121 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
130311-121 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1285010009 | 05 |
| Street Address |
4800 S 10TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750427167 | Catherine D'alessio | Counselor | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2007-01-30 |
| 1063035681 | Amelia C Niesen | Registered Nurse | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2020-05-19 |
| 1396306775 | Tesa Zackery | Counselor | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-06-26 |
| 1083270946 | Vickie Banaszynski | Registered Nurse | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-05-16 |
| 1023671500 | Benito Cruz-sanchez | Technician | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-04-19 |
| 1356803100 | Sophia Branen | Registered Nurse | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-04-02 |
| 1750842969 | Loretta Mummer | Licensed Practical Nurse | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-03-29 |
| 1346707346 | Stephanie Popoutsis | Technician | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-02-26 |
| 1952868036 | Rafal Zerebecki | Technician | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-02-26 |
| 1780141879 | Madeleine L Boman | Technician | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2019-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| 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 |
|---|---|---|---|---|
| 1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
| 1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
| 1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
| 1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
| 1255953527 | Susan C. Donnelly | Social Worker | 191 N Broadway Unit 205, Milwaukee, WI 53202-6031 | 2020-05-10 |
| 1013556885 | Shalonda Renee Leflore | Social Worker | 3244 N 48th St, Milwaukee, WI 53216-3344 | 2019-12-27 |
| 1003458068 | Anaddia S Clark | Social Worker | 4929 W Fond Du Lac Aveune, Milwaukee, WI 53216-2324 | 2019-10-11 |
| 1639727258 | Lauren Marie Kubik | Social Worker | 2375 N 67th St, Milwaukee, WI 53213-1438 | 2019-08-27 |
| 1164077319 | Casey Mccarragher | Social Worker | 3330 W Wells St, Milwaukee, WI 53208-3333 | 2019-08-05 |
| 1023661659 | Edwin Bacalso | Social Worker | 2524 E Webster Pl Ste 203, Milwaukee, WI 53211-4257 | 2019-07-23 |
| Find all providers in MILWAUKEE | ||||
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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.