Healthcare Provider Details
I. General information
NPI: 1871514976
Provider Name (Legal Business Name): MELISSA NAPIORKOWSKI CSW, CADC-D
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2314 N GRANDVIEW BLVD SUITES 301 AND 110
WAUKESHA WI
53188-1675
US
IV. Provider business mailing address
285 N JANACEK RD
BROOKFIELD WI
53045-6102
US
V. Phone/Fax
- Phone: 262-524-9416
- Fax: 262-524-9434
- Phone: 262-641-9050
- Fax: 262-641-9126
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 13820 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 8735-120 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: