MEDICARE: SARAH P LAFOLLETTE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	8266 -123	WI

General Provider Information

NPI Number	:	1073949954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH P LAFOLLETTE LCSW

Provider Business Mailing Address
First Line	:	2266 N PROSPECT AVE STE 304
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-6306
Country	:	US
Telephone Number	:	414-322-2807
Fax Number	:

Provider Business Practice Location Address
First Line	:	2266 N PROSPECT AVE STE 304
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-6306
Country	:	US
Telephone Number	:	414-322-2807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2013
Last Update Date	:	06/16/2026

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