Healthcare Provider Details

I. General information

NPI: 1366210049
Provider Name (Legal Business Name): HEIDI RENEE FILKO MSW, APSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEIDI RENEE SWAN

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 01/01/2025
Certification Date: 01/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2831 POST RD STE 300
PLOVER WI
54467-3415
US

IV. Provider business mailing address

N9759 STATE ROAD 49
IOLA WI
54945-9287
US

V. Phone/Fax

Practice location:
  • Phone: 715-600-2798
  • Fax:
Mailing address:
  • Phone: 715-497-4181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number134480-121
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: