Brandie Leigh Tetzlaff, M.S.S.W, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7139-123 Issued in WI

Practice address

890 Elm Grove Rd Ste 203
Elm Grove, WI 53122-2528

Phone

(262) 719-2975

NPI assigned

Jul 19, 2008

Last updated

Nov 11, 2024By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tetzlaff & Myhre Psychotherapy and Assessments, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elm Grove, WI
  • NPI 1477151439
  NPD Authorized official
• Allergic Diseases SC

  • Allergy & Immunology Physician
  • West Allis, WI
  • NPI 1609898287
  NPD (past)

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1902061989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 ELM GROVE RD STE 203",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222528",
            "telephone_number": "262-719-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ELM GROVE RD STE 203",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222528",
            "telephone_number": "262-719-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETZLAFF",
        "first_name": "BRANDIE",
        "middle_name": "LEIGH",
        "credential": "M.S.S.W, L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7139-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Systemic Perspectives, Inc.
• Alexander Tarnow, PHARMD
• Tarvid Counseling LLC
• Sally Sue Tarvid, LCSW
• Tetzlaff & Myhre Psychotherapy and Assessments, LLC
• The Centered Self LLC
• Madelyn Thomas, M.S., CCC-SLP
• Lauren M. Todd
• Jamie Alyse Towle, RN
• Trillium Care Group LLC

• Clinical Social Worker in Elm Grove, WI
• Providers in Elm Grove, 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 Nov 11, 2024; 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.