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NPI Code Detail

MEDICARE: SOPHIA NOVOTNEY

MEDICARE: SOPHIA NOVOTNEY
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
1104100000XSocial Worker135026-121WI

General Provider Information

NPI Number : 1336075811
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA NOVOTNEY
Provider Business Mailing Address
First Line : 13850 W CAPITOL DR
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-2422
Country : US
Telephone Number : 414-301-3529
Fax Number :
Provider Business Practice Location Address
First Line : 13850 W CAPITOL DR
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-2422
Country : US
Telephone Number : 414-301-3529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ SOPHIA NOVOTNEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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