MEDICARE: ASSOCIATION OF COMMUNITY EMPOWERMENT, LLC

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

General Provider Information

NPI Number	:	1659986560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATION OF COMMUNITY EMPOWERMENT, LLC

Provider Business Mailing Address
First Line	:	PO BOX 18544
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-0544
Country	:	US
Telephone Number	:	414-585-9557
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 N SHERMAN BLVD STE 303
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-3463
Country	:	US
Telephone Number	:	414-585-9557
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MARGARITA DRUMGOOLE
Credential	:	LCSW
Telephone Number	:	414-585-9557

Provider Enumeration Date	:	09/09/2020
Last Update Date	:	09/09/2020

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