Healthcare Provider Details

I. General information

NPI: 1023929635
Provider Name (Legal Business Name): SARAH ELAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 W WINDLAKE AVE
MILWAUKEE WI
53204-3822
US

IV. Provider business mailing address

945 S PARKWAY DR
BROOKFIELD WI
53005-7324
US

V. Phone/Fax

Practice location:
  • Phone: 414-902-9600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: