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Contact Information

JEROME M LOBERG, M.S.W.
1501 AIRPORT RD.
WAUKESHA, WI53188
 Phone: 262-548-7930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JEROME M LOBERG · (Male)

NPI # 1023170099
Status Active
Credentials M.S.W. (Master of Science in Social Work)
Entity Individual
Enumeration date 12/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 3048-123
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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