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
Address 2015 E Newport Ave, Milwaukee, Wisconsin
Phone Number 4149615520
Fax Number
Sole Proprietor Y
Credentials MSW, LCSW,

NPI Number Detail

NPI Number 1013017169
Provider Enumeration Date 2006-09-25
Last Updated Date 2016-11-04

Provider Mailing Address Detail

Address 2015 E Newport Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532112984
Phone Number 4149615520
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
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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FAQs about Thomas G Mlodzik

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.

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