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NPI Code Detail

MEDICARE: MS. SHERYL ANN DEAN LCSW,BSW,CSAC,RCS

MEDICARE: MS. SHERYL ANN DEAN LCSW,BSW,CSAC,RCS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor14349-131WI
21041C0700XClinical Social Worker9650-123WI

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 : 1740309699
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERYL ANN DEAN LCSW,BSW,CSAC,RCS
Provider Business Mailing Address
First Line : 6200 W CENTER ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53210-2159
Country : US
Telephone Number : 414-874-2560
Fax Number : 414-874-2565
Provider Business Practice Location Address
First Line : 4810 NORTHWESTERN AVE
Second Line :
City : MOUNT PLEASANT
State : WI
Zip : 53406-1504
Country : US
Telephone Number : 262-634-9984
Fax Number : 262-637-9995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 04/28/2021

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