| Jewish Family Services, Inc. | |
|
1300 N. Jackson St. Milwaukee WI 53202 | |
| (414) 390-5800 | |
| (414) 225-1346 |
| Full Name | Jewish Family Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 N. Jackson St., Milwaukee, Wisconsin |
| Authorized Official Name and Position | Sylvan Leabman (PRESIDENT/CEO) |
| Authorized Official Contact | 4143905800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Services, Inc. 1300 N. Jackson St. Milwaukee WI 53202 Ph: (414) 390-5800 | Jewish Family Services, Inc. 1300 N. Jackson St. Milwaukee WI 53202 Ph: (414) 390-5800 |
| NPI Number | 1659466209 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6608828819 |
|---|---|
| Medicare Enrollment ID | O20050216000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659466209 | NPI | - | NPPES |
| 42156300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Wisconsin) | Primary |
| Provider Name | Darcy A Mcdaniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508989617 PECOS PAC ID: 5395797518 Enrollment ID: I20050216000465 |
| Provider Name | Anne T David |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235410424 PECOS PAC ID: 3274767744 Enrollment ID: I20131016001428 |
| Provider Name | Joan Kojis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609857770 PECOS PAC ID: 4789812892 Enrollment ID: I20140117001329 |
| Provider Name | Beverly Felten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366470130 PECOS PAC ID: 4082617220 Enrollment ID: I20140124000531 |
| Provider Name | Carin A Pittleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609114511 PECOS PAC ID: 0345463337 Enrollment ID: I20140520001271 |
| Provider Name | Aaron Heffernan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609887546 PECOS PAC ID: 8628397452 Enrollment ID: I20150429001571 |
| Provider Name | Mary Bultman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639627110 PECOS PAC ID: 4486934668 Enrollment ID: I20161205001423 |
| Provider Name | Tanya Czarnecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669898110 PECOS PAC ID: 1153601869 Enrollment ID: I20161214001328 |
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