Healthcare Provider Details

I. General information

NPI: 1902716509
Provider Name (Legal Business Name): AUBREY BECK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3666 S CLEMENT AVE
MILWAUKEE WI
53207-3566
US

IV. Provider business mailing address

3725 E DENTON AVE APT 142
ST FRANCIS WI
53235-5929
US

V. Phone/Fax

Practice location:
  • Phone: 414-294-1538
  • Fax:
Mailing address:
  • Phone: 608-393-9403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number3001021910
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: