| Susan Doerflinger Msw Lcsw Sac Llc | |
|
7845 Harwood Ave Wauwatosa WI 53213-2523 | |
| (414) 258-8314 | |
| (414) 270-1031 |
| Full Name | Susan Doerflinger Msw Lcsw Sac Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7845 Harwood Ave, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Susan M Doerflinger (OWNER) |
| Authorized Official Contact | 4142588314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Doerflinger Msw Lcsw Sac Llc 7845 Harwood Ave Wauwatosa WI 53213-2523 Ph: (414) 258-8314 | Susan Doerflinger Msw Lcsw Sac Llc 7845 Harwood Ave Wauwatosa WI 53213-2523 Ph: (414) 258-8314 |
| NPI Number | 1013585876 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/16/2021 |
| Certification Date | 06/16/2021 |
| Medicare PECOS PAC ID | 7911309158 |
|---|---|
| Medicare Enrollment ID | O20210712001656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013585876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan M Doerflinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710092960 PECOS PAC ID: 5496648826 Enrollment ID: I20040207000306 |
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