NEXUS MOMENTUM PSYCHOTHERAPY LLC
NPI 1174331441
Social Worker - Clinical in Wauwatosa, WI

Active since December 19, 2024
2135 N 63RD ST, WAUWATOSA, WI 53213(414) 367-8494 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nexus Momentum Psychotherapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEXUS MOMENTUM PSYCHOTHERAPY LLC (NPI 1174331441) is a healthcare organization registered as a clinical in Wauwatosa, Wisconsin and active in the NPI registry since December 2024. The organization lists Kymberlee Blackford, Owner, as its authorized official.

NPPES Registry Identity

NPI1174331441
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNEXUS MOMENTUM PSYCHOTHERAPY LLC
Location Address2135 N 63RD STWauwatosa, WI 53213-2054
Mailing Address777 N Jefferson St, Ste 408 Pmb 1250Milwaukee, WI 53202-1924 · (414) 367-8494
Organization SubpartNo
Authorized OfficialKymberlee BlackfordOwner · (414) 367-8494
Enumeration DateDecember 19, 2024
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
NPI 1174331441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
2135 N 63RD ST, Wauwatosa, WI 53213

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nexus Momentum Psychotherapy LLC's NPI number?

The NPI number for Nexus Momentum Psychotherapy LLC is 1174331441. It was assigned to this organization in the NPPES registry on December 19, 2024.

Where is Nexus Momentum Psychotherapy LLC located?

Nexus Momentum Psychotherapy LLC is located at 2135 N 63rd St, Wauwatosa, WI 53213. The listed phone number is (414) 367-8494.

What is Nexus Momentum Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Nexus Momentum Psychotherapy LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.