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ANNETTE E MADISON NPI 1124469804


NPI Information

NPI: 1124469804
Provider Name: ANNETTE E MADISON

Doing Business As: ANNETTE E MADISON MSW LCSW LLC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
6051 W BROWN DEER RD
SUITE 106
BROWN DEER, WI
ZIP 53223
Phone: (414) 354-1030
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ANNETTE E MADISON is a community behavioral health in Brown Deer, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ANNETTE E MADISON NPI is 1124469804. The provider is registered as an organization entity type.
The provider Is Doing Business As Annette E Madison Msw Lcsw Llc.

The provider's business location address is:

6051 W BROWN DEER RD
SUITE 106
BROWN DEER, WI
ZIP 53223-263
Phone: (414) 354-1030
Fax: (414) 354-7584

The provider's authorized official is Annette Elisa Madison .
The authorized official title is Owner and has the following contact phone number (414) 354-1030.

The enumeration date for this NPI number is 7/10/2013 and was last updated on 7/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health7034-123WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141003900MEDICAIDWISCONSIN
23212MEDICARE PINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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