| Maribeth Rose Dettlaff, MSW, LCSW, CADC | |
|
500 Riverview Ave Ste 2, Waukesha, WI 53188-3632 | |
| (262) 548-7399 | |
| Not Available |
| Full Name | Maribeth Rose Dettlaff |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 500 Riverview Ave Ste 2, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629132840 | NPI | - | NPPES |
| 39572300 | Other | WI | T-19 PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12548 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 521-123 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Maribeth Rose Dettlaff, MSW, LCSW, CADC W168s7024 Parkland Dr, Muskego, WI 53150-9441 Ph: (414) 422-0708 | Maribeth Rose Dettlaff, MSW, LCSW, CADC 500 Riverview Ave Ste 2, Waukesha, WI 53188-3632 Ph: (262) 548-7399 |
Stephanie Pattengale, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave, Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 | |
Lisa Beth Moore, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W Broadway Fl 2, Waukesha, WI 53186 Phone: 262-547-5567 | |
Rachel A Feller, LCSW, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-893-5317 | |
Jenna Marie Jackson, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7666 | |
Daniel E Hermsen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: W231 N1440 Corporate Court, Suite 310, Waukesha, WI 53186 Phone: 282-896-6186 Fax: 262-896-6139 | |
Jayne Weyer-smith, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 W Moreland Blvd, Suite 5, Waukesha, WI 53188 Phone: 262-542-0123 Fax: 262-542-1199 | |
Amanda J Dowling, PCIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 Fax: 262-928-5096 |