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NPI Code Detail

MEDICARE: PATRICIA MAYER LCSW

MEDICARE: PATRICIA MAYER LCSW
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
11041C0700XClinical Social Worker3007123WI

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 : 1629089420
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MAYER LCSW
Provider Business Mailing Address
First Line : 2234 N WAUWATOSA AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-1733
Country : US
Telephone Number : 414-259-5123
Fax Number :
Provider Business Practice Location Address
First Line : 16535 W BLUEMOUND RD STE 200
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-5906
Country : US
Telephone Number : 262-789-1191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 12/22/2025

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Directions to “ PATRICIA MAYER LCSW” Practice Location

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