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NPI Code Detail

MEDICARE: CAROLYN E PRANINSKY LCSW

MEDICARE:   CAROLYN E PRANINSKY  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
11041C0700XClinical Social Worker3151-123WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609863406
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN E PRANINSKY LCSW
Provider Business Mailing Address
First Line : 9000 W WISCONSIN AVE
Second Line : MS 958
City : MILWAUKEE
State : WI
Zip : 53226-4874
Country : US
Telephone Number : 414-266-7615
Fax Number : 414-266-6238
Provider Business Practice Location Address
First Line : 8800 WASHINGTON AVE
Second Line : SUITE 100
City : MOUNT PLEASANT
State : WI
Zip : 53406-3701
Country : US
Telephone Number : 262-633-3591
Fax Number : 262-633-2619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 02/20/2017

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Directions to “ CAROLYN E PRANINSKY LCSW” Practice Location

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