CMS-1500 Box 24J / 33a • NPI
1922176395
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
1041C0700X (CMS 80)
Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
Box 32 Service Location & ZIP+4
4811 S 76TH ST, SUITE 401, GREENFIELD, WI, 53220-4364
✓ 9-Digit EDI 837 ZIP+4 (53220-4364)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1922176395 (CHILD & FAMILY THERAPEUTIC SYSTEMS S.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1922176395 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CHILD & FAMILY THERAPEUTIC SYSTEMS S.C. |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: 1041C0700X (Social Worker, Clinical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 4811 S 76TH ST, SUITE 401, GREENFIELD, WI, 53220-4364 |
| Practice Telephone / Fax | Tel: (414) 325-7741 | Fax: (414) 325-7753 |
| Administrative Mailing Address | 4811 S 76TH ST STE 305, GREENFIELD, WI, 53220-4364 |
| Enumeration & Last Sync | Enumerated: 2006-12-01 | CMS Record Updated: 2022-09-26 |
| Authorized Official | CARYN BUB-STANDAL (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1041C0700X)
What Does Taxonomy Code 1041C0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHILD & FAMILY THERAPEUTIC SYSTEMS S.C.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: WI | License: 12701 | Primary: Secondary |
103TC0700X — Psychologist, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical | State: WI | License: 594-057 | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: WI | License: 2154-123 | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: WI | License: 2792-123 | Primary: Secondary |
106H00000X — Marriage & Family TherapistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist | State: WI | License: 471-124 | Primary: Secondary |
106H00000X — Marriage & Family TherapistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist | State: WI | License: 186-124 | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: WI | License: 2532-123 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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