Compassionate Clinical Services, Llc | |
985 W Oklahoma Ave Milwaukee WI 53215-4749 | |
(414) 839-1821 | |
(414) 446-3888 |
Full Name | Compassionate Clinical Services, Llc |
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Speciality | Social Worker |
Location | 985 W Oklahoma Ave, Milwaukee, Wisconsin |
Authorized Official Name and Position | Ryan P Larkey (OWNER / PSYCHOTHERAPIST) |
Authorized Official Contact | 4148391821 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compassionate Clinical Services, Llc 985 W Oklahoma Ave Milwaukee WI 53215-4749 Ph: (414) 839-1821 | Compassionate Clinical Services, Llc 985 W Oklahoma Ave Milwaukee WI 53215-4749 Ph: (414) 839-1821 |
NPI Number | 1912506908 |
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Provider Enumeration Date | 10/20/2020 |
Last Update Date | 05/03/2021 |
Certification Date | 05/03/2021 |
Medicare PECOS PAC ID | 9638510316 |
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Medicare Enrollment ID | O20240513000958 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912506908 | NPI | - | NPPES |
1841623840 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Ryan Patrick Larkey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841623840 PECOS PAC ID: 8224344551 Enrollment ID: I20150902000173 |
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