JERRELL BRAXTON LCSW
NPI 1205966561
Social Worker - Clinical in Milwaukee, WI
NPI Status: Active since March 06, 2007
Contact Information
230 W WELLS ST
SUITE 630
MILWAUKEE, WI
ZIP 53203
Phone: (414) 272-5005
Fax: (414) 272-3760
- Individual
- Male
- Social Worker
- Clinical
About JERRELL BRAXTON
This page provides the complete NPI Profile along with additional information for Jerrell Braxton, a provider established in Milwaukee, Wisconsin with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1205966561 assigned on March 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 3168-123 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1205966561
- Provider Name
- JERRELL BRAXTON LCSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 230 W WELLS ST SUITE 630 MILWAUKEE, WI 53203
- Location Phone
- (414) 272-5005
- Location Fax
- (414) 272-3760
- Mailing Address
- 230 W WELLS ST SUITE 630 MILWAUKEE, WI 53203
- Mailing Phone
- (414) 272-5005
- Mailing Fax
- (414) 272-3760
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-06-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical social worker like Jerrell Braxton is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3168-123
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39576700 | MEDICAID (05) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 6 | 6 | 5 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 6 | 12 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 6 + 1 + 2 + 5 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1205966561 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245344340 | WYONNE C. HOLLAND Individual | Social Worker (Clinical) | 230 W WELLS ST MILWAUKEE, WI 53203 (414) 324-4999 |
| 1851444749 | MR. JON ROBERT CHRISTENSEN LPC Individual | Counselor (Addiction (Substance Use Disorder)) | 230 W WELLS ST #411 MILWAUKEE, WI 53203 (414) 530-6575 |
| 1609997683 | CHILD ADOLESCENT FAMILY MARRIAGE THERAPY ASSOCIATES Organization | Social Worker (Clinical) | 230 W WELLS ST SUITE 630 MILWAUKEE, WI 53203 (414) 272-5005 |
| 1508031329 | JULIA K KONRARDY-CROMEY BA, CSAC, ICS Individual | Counselor (Addiction (Substance Use Disorder)) | 230 W WELLS ST SUITE 312 MILWAUKEE, WI 53203 (414) 344-3406 |
| 1912161241 | WINGS OF DOVE COUNSELING SERVICE LLC Organization | Social Worker (Clinical) | 230 W WELLS ST SUITE 309 MILWAUKEE, WI 53203 (414) 324-4999 |
| 1639484900 | MS. DEBORAH A BENT MS Individual | Counselor | 230 W WELLS ST SUITE 500 MILWAUKEE, WI 53203 (414) 290-0449 |
| 1902241888 | KURT PETERSON LPC Individual | Counselor (Mental Health) | 230 W WELLS ST ROOM 500 MILWAUKEE, WI 53203 (414) 290-0444 |
| 1992140735 | TRACI GAUTHIER MS, LPC, SAC Individual | Counselor (Mental Health) | 230 W WELLS ST SUITE 500 MILWAUKEE, WI 53203 (414) 290-0440 |
| 1093124083 | CHILD AND ADULT PSYCHOTHERAPY CLINIC, LLC Organization | Social Worker | 230 W WELLS ST MILWAUKEE, WI 53203 (414) 380-3327 |
| 1134329238 | OTIS LOCKETT, JR. MS,LPC, CSAC, ICS, Individual | Counselor (Professional) | 230 W WELLS ST SUITE 214 MILWAUKEE, WI 53203 (414) 839-8994 |
| 1174927743 | LOCKETT ENTERPRISES, LLC Organization | Counselor (Professional) | 230 W WELLS ST SUITE 214 MILWAUKEE, WI 53203 (414) 839-8994 |
| 1457759565 | GLADYS FAYE DOZIER MS, SAC Individual | Counselor (Addiction (Substance Use Disorder)) | 230 W WELLS ST SUITE 312 MILWAUKEE, WI 53203 (414) 344-3406 |
| 1821258286 | MRS. ELLEN L. KLEIN LPC, MS Individual | Psychologist | 230 W WELLS ST SUITE 504 MILWAUKEE, WI 53203 (414) 290-0444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205966561, enumerated in the NPI registry as an "individual" on March 06, 2007
The provider is located at 230 W Wells St Suite 630 Milwaukee, Wi 53203 and the phone number is (414) 272-5005
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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