MEDICARE: SARAH TERESE CARDONA APSW

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
1	1041C0700X	Clinical Social Worker	134602-121	WI

General Provider Information

NPI Number	:	1649114067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH TERESE CARDONA APSW

Provider Business Mailing Address
First Line	:	3331 S BURRELL ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2754
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3331 S BURRELL ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-2754
Country	:	US
Telephone Number	:	414-628-0278
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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