Shelly L Brudnicki, LCSW is a
Social Worker - Clinical based in Milwaukee, Wisconsin. Shelly L Brudnicki is licensed to practice in Wisconsin (license number 9882-123) and her current practice location is
905 E Meinecke Ave Apt C, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 750-7576.
NPI number for Shelly L Brudnicki is 1568110955 and her current mailing address is 905 E Meinecke Ave Apt C, Milwaukee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568110955.
Healthcare Provider's Profile
| Full Name | Shelly L Brudnicki |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 905 E Meinecke Ave Apt C, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568110955
- Provider Enumeration Date: 03/14/2022
- Last Update Date: 03/14/2022
Medical Identifiers
Medical identifiers for Shelly L Brudnicki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568110955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19021 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9882-123 (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. Shelly L Brudnicki 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 |
|---|
Shelly L Brudnicki, LCSW
905 E Meinecke Ave Apt C,
Milwaukee, WI 53212-3415
Ph: (414) 750-7576 | Shelly L Brudnicki, LCSW
905 E Meinecke Ave Apt C,
Milwaukee, WI 53212-3415
Ph: (414) 750-7576 |
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