Lori Ann Pulkrabek, CICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

629-123 Issued in WI

Practice address

5600 Medical Cir
Madison, WI 53719-1243

Phone

(608) 274-6266

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124222492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 EDENBERRY ST",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116952",
            "telephone_number": "608-298-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MEDICAL CIR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191243",
            "telephone_number": "608-274-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULKRABEK",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "CICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "629-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurizio Pugliese, DO
• Patricia A Pugsley, CNS
• Christine Angela Puleo
• Michael Santino Pulia, M.D.
• Nicole Marie Pulia, PHD
• Christy Michelle Pullara, RN, BSN
• Nancy Conant Pullen, PHD MS RN LPC
• Roshanda Evette Pulliam, SAC-IT
• Sarah Pultorak
• Dana Pulver

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.