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Contact Information

CHILDREN'S SERVICE SOCIETY OF WISCONSIN
620 S 76TH ST
SUITE 120
MILWAUKEE, WI53214-1549
 Phone: 414-453-1400
 Fax: 414-453-2538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CHILDREN'S SERVICE SOCIETY OF WISCONSIN

NPI # 1083888382
LBN Legal business name CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Authorized official TRACY OERTER - (INTERIM DIRECTOR OF COUNSELING)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2008
Last updated 12/05/2013 - About 13 years ago
Identifiers
WI Medicaid 42155200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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