Aniakudo, Patricia
Aniakudo, Patricia is an individual health care provider with primary practice located at 1320 Wisconsin Ave , Racine WI 53403-1978. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Aniakudo, Patricia can be contacted via phone (262) 687-2222.Contact Information
Primary practice address
1320 Wisconsin Ave
Racine WI 53403-1978
Phone: (262) 687-2222
Fax: (262) 687-2495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15620-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3098-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3098-125 | Wisconsin |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 130158-121 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8890-123 | Wisconsin |
Profile Details
| NPI number | 1952608796 |
|---|---|
| LBN Legal business name | Aniakudo, Patricia |
| Credentials | LPC, CSAC, ICS, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2011 |
| Last updated | Dec 10th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952608796 | NPPES |
| Wisconsin | MEDICAID | 100013887 | |
| Wisconsin | Other | 12219360 |
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