| Children's Service Society Of Wisconsin | |
|
8800 Washington Ave Suite 100 Mount Pleasant WI 53406-3701 | |
| (262) 633-3591 | |
| (262) 633-2619 |
| Full Name | Children's Service Society Of Wisconsin |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8800 Washington Ave, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Tracy Oerter (INTERIM DIRECTOR OF COUNSELING) |
| Authorized Official Contact | 4142662912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Service Society Of Wisconsin 8800 Washington Ave Suite 100 Mount Pleasant WI 53406-3701 Ph: (262) 633-3591 | Children's Service Society Of Wisconsin 8800 Washington Ave Suite 100 Mount Pleasant WI 53406-3701 Ph: (262) 633-3591 |
| NPI Number | 1548434848 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548434848 | NPI | - | NPPES |
| 42136500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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