IndividualActive
Southida Xayachack
NPI 1487107215 · Clinical Social Worker · Brown Deer, WI
Southida Xayachack is a Clinical Social Worker provider in Brown Deer, WI (NPI 1487107215).
Provider details
- NPI number
- 1487107215
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 130138 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3900 W Brown Deer Rd
Suite 200
Brown Deer, WI 53209-1220
Phone: (414) 540-2170
Fax: (414) 540-2171
Street-level locationGet directions
Mailing address
3900 W Brown Deer Rd
Brown Deer, WI 53209-1220
Registry dates
- Enumerated
- 2016-07-28
- Last updated
- 2016-07-28
Frequently asked questions
- What is Southida Xayachack's NPI number?
- Southida Xayachack's National Provider Identifier (NPI) is 1487107215, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Southida Xayachack's specialty?
- Southida Xayachack is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Southida Xayachack located?
- Southida Xayachack's practice location on file with NPPES is 3900 W Brown Deer Rd, Brown Deer, WI 53209-1220.
- What is Southida Xayachack's phone number?
- The practice phone number listed in the NPPES registry for Southida Xayachack is (414) 540-2170.
- Is Southida Xayachack's NPI active?
- Yes — Southida Xayachack's NPI (1487107215) is active in the NPPES registry as of the last update on 2016-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.