| Wisconsin Lutheran Child & Family Service, Inc. | |
|
6150 Taylor Avenue Racine WI 53403 | |
| (800) 438-1772 | |
| (262) 293-9737 |
| Full Name | Wisconsin Lutheran Child & Family Service, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6150 Taylor Avenue, Racine, Wisconsin |
| Authorized Official Name and Position | Andrea Semmann (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 2623455560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Lutheran Child & Family Service, Inc. W175n11120 Stonewood Dr Germantown WI 53022-6511 Ph: (800) 438-1772 | Wisconsin Lutheran Child & Family Service, Inc. 6150 Taylor Avenue Racine WI 53403 Ph: (800) 438-1772 |
| NPI Number | 1073999355 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073999355 | NPI | - | NPPES |
| 42223600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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