Ms Ellen Claire Pederson-lewis, LCSW is a
Marriage & Family Therapist based in Brookfield, Wisconsin. Ms Ellen Claire Pederson-lewis is licensed to practice in Wisconsin (license number 401-124) and her current practice location is
675 N Brookfield Rd, Ste 101, Brookfield, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 641-9300.
NPI number for Ms Ellen Claire Pederson-lewis is 1649306317 and her current mailing address is 7717 N Boyd Way, Fox Point, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649306317.
Healthcare Provider's Profile
Full Name | Ms Ellen Claire Pederson-lewis |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 675 N Brookfield Rd, Brookfield, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649306317
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Ellen Claire Pederson-lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649306317 | NPI | - | NPPES |
39296900 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1679-123 (Wisconsin) | Primary |
106H00000X | Marriage & Family Therapist | 401-124 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ellen Claire Pederson-lewis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Ellen Claire Pederson-lewis, LCSW 7717 N Boyd Way, Fox Point, WI 53217-3210 Ph: (414) 690-2197 | Ms Ellen Claire Pederson-lewis, LCSW 675 N Brookfield Rd, Ste 101, Brookfield, WI 53045-5858 Ph: (262) 641-9300 |
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