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General NPI Number Information
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NPI Number | 1245890623
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Entity Type | Individual
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Provider Name | TORI RAE BARTKOWIAK MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 3324 MILWAUKEE ST
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City | MADISON
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State | WI
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Zip | 53714-1866
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Country | US
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Telephone | 608-495-7444
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Fax |
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Provider Business Mailing Address
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Address Line | 4378 S JORDAN DR APT 6
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City | MCFARLAND
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State | WI
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Zip | 53558-9024
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Country | US
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Telephone | 608-963-7479
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | WI
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