Mr Lee Konczak, MSW is a
Social Worker - Clinical based in Brookfield, Wisconsin. Mr Lee Konczak is licensed to practice in Wisconsin (license number 632123) and his current practice location is
16535 W Bluemound Rd, 200, Brookfield, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 542-3255.
NPI number for Mr Lee Konczak is 1518976703 and his current mailing address is 5416 Mansfield Dr, Greendale, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518976703.
Healthcare Provider's Profile
| Full Name | Mr Lee Konczak |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 16535 W Bluemound Rd, Brookfield, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518976703
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 02/13/2008
Medical Identifiers
Medical identifiers for Mr Lee Konczak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518976703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12275 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 632123 (Wisconsin) | Primary |
| 1041S0200X | Social Worker - School | (Wisconsin) | Secondary |
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. Mr Lee Konczak 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 |
|---|
Mr Lee Konczak, MSW
5416 Mansfield Dr,
Greendale, WI 53129-1354
Ph: () - | Mr Lee Konczak, MSW
16535 W Bluemound Rd, 200,
Brookfield, WI 53005-5936
Ph: (262) 542-3255 |
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