Caryn Bub-standal, LCSW, LMFT is a
Social Worker - Clinical based in Greenfield, Wisconsin. Caryn Bub-standal is licensed to practice in Wisconsin (license number 2792-123) and her current practice location is
4811 S. 76th St., Ste. 401, Greenfield, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 325-7741.
NPI number for Caryn Bub-standal is 1851441034 and her current mailing address is 4811 S 76th St Ste 305, Greenfield, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851441034.
Healthcare Provider's Profile
| Full Name | Caryn Bub-standal |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4811 S. 76th St., Greenfield, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851441034
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 09/26/2022
Medical Identifiers
Medical identifiers for Caryn Bub-standal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851441034 | NPI | - | NPPES |
| 391805443007 | Other | WI | BCBS |
| 39645500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 471-124 (Wisconsin) | Secondary |
| 106H00000X | Marriage & Family Therapist | 186-124 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2792-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caryn Bub-standal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Caryn Bub-standal, LCSW, LMFT 4811 S 76th St Ste 305, Greenfield, WI 53220-4364 Ph: (414) 325-7741 | Caryn Bub-standal, LCSW, LMFT 4811 S. 76th St., Ste. 401, Greenfield, WI 53220 Ph: (414) 325-7741 |
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