Stagg, Jennifer L
Stagg, Jennifer L is an individual health care provider with primary practice located at 6040 W Lisbon Ave Suite 103, Milwaukee WI 53210-2116. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Stagg, Jennifer L can be contacted via phone (414) 442-1751.Contact Information
Primary practice address
6040 W Lisbon Ave Suite 103
Milwaukee WI 53210-2116
Phone: (414) 442-1751
Fax: (414) 442-1775
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 8864-123 | Wisconsin |
Profile Details
NPI number | 1609906015 |
---|---|
LBN Legal business name | Stagg, Jennifer L |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2007 |
Last updated | Aug 27th, 2021 - about 3 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 | 1609906015 | NPPES |
Wisconsin | MEDICAID | 43730200 |
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