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NPI Code Detail

MEDICARE: WISCONSIN LUTHERAN CHILD & FAMILY SERVICE,INC

MEDICARE: WISCONSIN LUTHERAN CHILD & FAMILY SERVICE,INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265818959
Entity Type Code : Organization
Provider Name (Legal Business Name) : WISCONSIN LUTHERAN CHILD & FAMILY SERVICE,INC
Provider Business Mailing Address
First Line : W175N11120 STONEWOOD DR
Second Line :
City : GERMANTOWN
State : WI
Zip : 53022-6511
Country : US
Telephone Number : 800-438-1772
Fax Number : 262-293-9737
Provider Business Practice Location Address
First Line : 8242 N GRANVILLE RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-2754
Country : US
Telephone Number : 800-438-1772
Fax Number : 262-293-9737
Authorized Official
Title or Position : OPERATIONS DIRECTOR
Name : ANDREA SEMMANN
Credential :
Telephone Number : 262-345-5560
Provider Enumeration Date : 08/04/2015
Last Update Date : 08/04/2015

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Directions to “WISCONSIN LUTHERAN CHILD & FAMILY SERVICE,INC ” Practice Location

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