| Shoreside Therapies | |
|
4530 N Oakland Ave Milwaukee WI 53211-1215 | |
| (414) 332-7000 | |
| (414) 332-2368 |
| Full Name | Shoreside Therapies |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4530 N Oakland Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Nancy Shertok (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4143327000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreside Therapies 4530 N Oakland Ave Milwaukee WI 53211-1215 Ph: (414) 332-7000 | Shoreside Therapies 4530 N Oakland Ave Milwaukee WI 53211-1215 Ph: (414) 332-7000 |
| NPI Number | 1134334063 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134334063 | NPI | - | NPPES |
| 2524 | Other | WI | CERT MH OUTPATIENT CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2844-125 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 2138-123 (Wisconsin) | Primary |
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