Children'S Service Society Of Wisconsin
LBN: Children'S Service Society Of Wisconsin
Children'S Service Society Of Wisconsin is an health care organization with primary practice located at 1716 Fordem Ave , Madison WI 53704-4604. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Children'S Service Society Of Wisconsin can be contacted via phone (608) 221-3511, or through Pupp, Ron via phone (414) 231-4808.
Contact Information
Primary practice address
1716 Fordem Ave
Madison WI 53704-4604
Phone: (608) 221-3511
Fax: (608) 221-3514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1528232386 |
|---|---|
| LBN Legal business name | Children'S Service Society Of Wisconsin |
| DBA Doing business as | |
| Authorized official | Pupp, Ron PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Nov 23rd, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528232386 | NPPES |
| Wisconsin | MEDICAID | 42115300 |
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