Healthcare Provider Details

I. General information

NPI: 1134040546
Provider Name (Legal Business Name): MELISSA DREWS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 N BROADWAY
MILWAUKEE WI
53202-6051
US

IV. Provider business mailing address

159 N BROADWAY
MILWAUKEE WI
53202-6051
US

V. Phone/Fax

Practice location:
  • Phone: 414-943-6049
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number129160-121
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: