Thomas G Mlodzik in Milwaukee - Addiction (substance Use Disorder)
Thomas G Mlodzik - NPI 1013017169
Thomas G Mlodzik is a Addiction (substance Use Disorder) in Milwaukee, Wisconsin. Thomas G Mlodzik practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Thomas G Mlodzik is 1013017169. The last update date is 2016-11-04.
Thomas G Mlodzik's current location address is 2015 E Newport Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4149615520. The mailing address for Thomas G Mlodzik is 2015 E Newport Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Thomas G Mlodzik |
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Address | 2015 E Newport Ave, Milwaukee, Wisconsin |
Phone Number | 4149615520 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MSW, LCSW, |
NPI Number Detail
NPI Number | 1013017169 |
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Provider Enumeration Date | 2006-09-25 |
Last Updated Date | 2016-11-04 |
Provider Mailing Address Detail
Address | 2015 E Newport Ave |
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City | Milwaukee |
State | Wisconsin (WI) |
Post Code | 532112984 |
Phone Number | 4149615520 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 12418 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
12418 | WI | CADCIII | |
39757800 | WI | -- | |
6995-123 | WI | LCSW | |
555-124 | WI | LMFT |
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What is the unique 10-digit identifier code assigned to Thomas G Mlodzik by the Centers for Medicare & Medicaid Services?
The Thomas G Mlodzik has been issued the NPI (National Provider Identifier) 1013017169 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Thomas G Mlodzik is located?
The Thomas G Mlodzik is situated at the following address: 2015 E Newport Ave, Milwaukee, WI, 532112984.
What is Thomas G Mlodzik's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas G Mlodzik is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did Thomas G Mlodzik receive its 1013017169 assignment from the Centers for Medicare & Medicaid Services?
The Thomas G Mlodzik was assigned its 1013017169 on 2006-09-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Thomas G Mlodzik, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas G Mlodzik, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-04.