Eileen G Warren, MS, CSAC - ICS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11581 - 134 AND2103 Issued in WI

Practice address

6501 3Rd Ave
Kenosha, WI 53143-5111

Phone

(262) 456-4780

Fax

(262) 456-4780

NPI assigned

Jul 20, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1609076322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 3RD AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435111",
            "telephone_number": "262-456-4780",
            "fax_number": "262-605-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 3RD AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435111",
            "telephone_number": "262-456-4780",
            "fax_number": "262-456-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "EILEEN",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MS, CSAC - ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11581 - 134 AND2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanise Wallace
• Stacey Wallace, RN
• Michael Anthony Walsh, D.D.S.
• John James Walther, BS
• Clinton Charles Warren, M.D.
• Melanie Waschbisch, LPC
• Roena Angela Waters, ADULT FAMILY HOME
• Jason T Watka
• Brian M Watkins, PTA
• We Care Consulting Inc.

• Addiction (Substance Use Disorder) Counselor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.