| Child & Family Therapeutic Systems | |
|
4811 S 76th St Suite 401 Greenfield WI 53220-4364 | |
| (414) 325-7741 | |
| (414) 325-7753 |
| Full Name | Child & Family Therapeutic Systems |
|---|---|
| Speciality | Social Worker |
| Location | 4811 S 76th St, Greenfield, Wisconsin |
| Authorized Official Name and Position | Caryn Bub-standal (PRESIDENT) |
| Authorized Official Contact | 4143257741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Family Therapeutic Systems 4811 S 76th St Ste 305 Greenfield WI 53220-4364 Ph: (414) 325-7741 | Child & Family Therapeutic Systems 4811 S 76th St Suite 401 Greenfield WI 53220-4364 Ph: (414) 325-7741 |
| NPI Number | 1922176395 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/26/2022 |
| Medicare PECOS PAC ID | 6002842549 |
|---|---|
| Medicare Enrollment ID | O20050715000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922176395 | NPI | - | NPPES |
| 42201100 | Medicaid | WI |
| Provider Name | Paul E Krepel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164571329 PECOS PAC ID: 1456387992 Enrollment ID: I20050818000444 |
| Provider Name | Robert Carl Hugl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871611160 PECOS PAC ID: 6406132471 Enrollment ID: I20170406001721 |
| Provider Name | Elizabeth Mundy-hemmerich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386834075 PECOS PAC ID: 2668795477 Enrollment ID: I20191220000177 |
| Provider Name | Ashly Marie Witkowiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891208864 PECOS PAC ID: 1557774031 Enrollment ID: I20201229002671 |
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