Mancuso, Joseph E

Mancuso, Joseph E is an individual health care provider with primary practice located at 1220 Dewey Ave Dewey Center, Wauwatosa WI 53213. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Mancuso, Joseph E can be contacted via phone (414) 454-6707.

Contact Information

Primary practice address
1220 Dewey Ave Dewey Center Wauwatosa WI 53213
Phone: (414) 454-6707
Fax: (414) 454-6747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1320-132 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 2599-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2461-123 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 2461-123 Wisconsin

Profile Details

NPI number 1760599229
LBN Legal business name Mancuso, Joseph E
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 16th, 2018 - about 7 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 1760599229 NPPES
Wisconsin MEDICAID 39331000

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