RITA JEAN BRAFFORD LCSW CADC-D NPI 1700992708

NPI Information

  • NPI: 1700992708
  • Provider Name: RITA JEAN BRAFFORD, LCSW, CADC-D
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 888 THACKERAY TRL
    105
    OCONOMOWOC, WI
    ZIP 53066
  • Phone: (262) 542-3255

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NPI Details

Rita Jean Brafford, LCSW, CADC-D is a mental health counselor in Oconomowoc, WI. Rita Jean Brafford, LCSW, CADC-D NPI is 1700992708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

888 THACKERAY TRL
105
OCONOMOWOC, WI
ZIP 53066-342
Phone: (262) 542-3255
Fax: (262) 567-5451

The NPI 1700992708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 6/29/2018.

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
1101YM0800XCounselorMental Health6612-123WISCONSINYes

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
139788800MEDICAIDWEST VIRGINIA
213350OTHERWISCONSINALCOHOL & DRUG COUNSELOR

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: 3/30/2025

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