| Sharada K Lange, LPC, CSAC | |
|
1610 Miller Park Way, West Milwaukee, WI 53214-3604 | |
| (414) 939-7556 | |
| Not Available |
| Full Name | Sharada K Lange |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1610 Miller Park Way, West Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073015004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharada K Lange, LPC, CSAC 1610 Miller Park Way, West Milwaukee, WI 53214-3604 Ph: () - | Sharada K Lange, LPC, CSAC 1610 Miller Park Way, West Milwaukee, WI 53214-3604 Ph: (414) 939-7556 |
Debra Barkley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 Miller Park Way, West Milwaukee, WI 53214 Phone: 414-672-3801 | |
Dr. Rachael Knudsen, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 Miller Park Way, West Milwaukee, WI 53214 Phone: 414-939-7556 | |
Diana Perez Ruiz, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 Miller Park Way, West Milwaukee, WI 53214 Phone: 414-672-3801 | |
Ms. Kristin Roguszka, LPC IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 Miller Park Way, West Milwaukee, WI 53214 Phone: 414-672-3801 | |
Courtney Joanne Cveykus, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 Miller Park Way, West Milwaukee, WI 53214 Phone: 414-672-3801 Fax: 414-672-6026 | |
Kristin Weber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 Miller Park Way, West Milwaukee, WI 53214 Phone: 414-672-3801 Fax: 414-672-6026 |