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NPI Code Detail

MEDICARE: MILWAUKEE CENTER FOR INDEPENDENCE INC

MEDICARE: MILWAUKEE CENTER FOR INDEPENDENCE INC
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor
3103G00000XClinical Neuropsychologist
4103T00000XPsychologist
5103TC0700XClinical Psychologist
6104100000XSocial Worker
71041C0700XClinical Social Worker
8163WP0809XAdult Psychiatric/Mental Health Registered Nurse
92084P0800XPsychiatry Physician
10103TH0004XHealth Psychologist
11251S00000XCommunity/Behavioral Health Agency
12103TR0400XRehabilitation Psychologist
13363LF0000XFamily Nurse Practitioner
14364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist
15261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)1933WI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DD9253OTHERWIRAILROAD MEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750326518
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILWAUKEE CENTER FOR INDEPENDENCE INC
Provider Business Mailing Address
First Line : 2020 W WELLS ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2720
Country : US
Telephone Number : 414-476-9675
Fax Number : 414-557-1834
Provider Business Practice Location Address
First Line : 2020 W WELLS ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2720
Country : US
Telephone Number : 414-476-9675
Fax Number : 414-476-9615
Authorized Official
Title or Position : DIRECTOR OF BUSINESS OPERATIONS
Name : ANDREW MAULE
Credential :
Telephone Number : 608-692-9495
Provider Enumeration Date : 06/17/2006
Last Update Date : 05/08/2024

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Directions to “MILWAUKEE CENTER FOR INDEPENDENCE INC ” Practice Location

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