Healthcare Provider Details

I. General information

NPI: 1245371228
Provider Name (Legal Business Name): JAY H SCHRINSKY LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9720 W BLUEMOUND RD
MILWAUKEE WI
53226-4454
US

IV. Provider business mailing address

7914 N MOHAWK RD
FOX POINT WI
53217-3124
US

V. Phone/Fax

Practice location:
  • Phone: 414-774-1794
  • Fax: 414-774-1488
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number280
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: