Menchaca, Lorene

Menchaca, Lorene is an individual health care provider with primary practice located at 101 E Pier St , Port Washington WI 53074-1939. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Menchaca, Lorene can be contacted via phone (262) 284-3117.

Contact Information

Primary practice address
101 E Pier St Port Washington WI 53074-1939
Fax: (262) 284-3087
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2540-123 Wisconsin

Profile Details

NPI number 1407969413
LBN Legal business name Menchaca, Lorene
Credentials LCSW, MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jan 4th, 2008 - about 16 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 1407969413 NPPES
Wisconsin MEDICAID 39685600

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