NPIMap

Annette E Madison

Organization Active NPI Community/Behavioral Health Agency · Brown Deer, WI

NPI 1124469804 · NPPES record last updated Jul 3, 2014

Key facts

NPI
1124469804
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
7034-123 (WI)
Legal business name
ANNETTE E MADISON
Practice address
6051 W Brown Deer Rd
Suite 106
Brown Deer, WI 53223-2263
Phone
(414) 354-1030
Fax
(414) 354-7584
NPI assigned
Jul 10, 2013
Organization subpart
No

Authorized official

Name
Annette Elisa Madison, LCSW
Title
Owner
Phone
(414) 354-1030

National Provider Directory

Locations

6051 W Brown Deer Rd
Ste 106
Brown Deer, WI 53223
Phone (414) 354-1030

7251 W North Ave
#10
Wauwatosa, WI 53213
Phone (414) 475-1030

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7034-123 WI Yes

Addresses

Primary practice location

6051 W Brown Deer Rd
Suite 106
Brown Deer, WI 53223-2263

Mailing address

PO Box 90108
Milwaukee, WI 53209-0108
Phone (414) 354-1030

Other identifiers

IdentifierTypeStateIssuer
41003900MedicaidWI

Other names

  • Annette E Madison MSW LCSW LLC Doing business as

Other providers in Brown Deer, WI

All providers in Brown Deer, WI · Community/Behavioral Health Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.