Konek-Schlax, Leslie Ann

Konek-Schlax, Leslie Ann is an individual health care provider with primary practice located at 6121 Green Bay Rd , Kenosha WI 53142-2926. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Konek-Schlax, Leslie Ann can be contacted via phone (262) 652-7222.

Contact Information

Primary practice address
6121 Green Bay Rd Kenosha WI 53142-2926
Phone: (262) 652-7222
Fax: (262) 652-1734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2531-123 Wisconsin

Profile Details

NPI number 1972663870
LBN Legal business name Konek-Schlax, Leslie Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Oct 5th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972663870 NPPES
Other 182658 VALUE OPTIONS
MEDICAID 39555200 VALUE OPTIONS
Other 80448 VALUE OPTIONS
Other 234314 VALUE OPTIONS
Other 7093066 VALUE OPTIONS
Other W009675 VALUE OPTIONS
Other 900693 VALUE OPTIONS

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