MEDICARE: MR. MICHAEL WITZKE MSW, 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	131300-121	WI

General Provider Information

NPI Number	:	1740147974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL WITZKE MSW, APSW

Provider Business Mailing Address
First Line	:	5145 COUNTY ROAD MM
Second Line	:
City	:	LA CROSSE
State	:	WI
Zip	:	54601-2341
Country	:	US
Telephone Number	:	608-383-1261
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 S ORANGE ST
Second Line	:
City	:	RICHLAND CENTER
State	:	WI
Zip	:	53581-2170
Country	:	US
Telephone Number	:	608-383-1261
Fax Number	:

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

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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