Maribeth Rose Dettlaff MSW, LCSW, CADC

  • NPI 1629132840
According to our database, the NPI number for Maribeth Rose Dettlaff MSW, LCSW, CADC is 1629132840 and activated since 17 years ago. Maribeth Rose Dettlaff MSW, LCSW, CADC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 500 Riverview Ave Ste 2, Waukesha, WI 53188. You can also contact Maribeth Rose Dettlaff MSW, LCSW, CADC via telephone number is (262) 548-7399. Provider NPI information was last updated on 07/08/2007.

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Overview of Maribeth Rose Dettlaff MSW, LCSW, CADC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/21/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 12548
  • License State: WI

Provider Mailing Address

  • Address: W168s7024 Parkland Dr
    Muskego, WI 53150
  • Phone: 414-422-0708
  • Fax:

Provider Practice Location

  • Address: 500 Riverview Ave Ste 2
    Waukesha, WI 53188
  • Phone: 262-548-7399
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 12548
  • License State: WI
  • Switch: Not Answered

Legacy Identifiers

  • Provider Identifier: 39572300
  • Identifier Type: Other
  • Identifier State: WI
  • Issuer: T-19 PROVIDER NUMBER

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Maribeth Rose Dettlaff MSW, LCSW, CADC?
  • A: The npi number for Maribeth Rose Dettlaff MSW, LCSW, CADC is 1629132840.
  • Q: What are Maribeth Rose Dettlaff MSW, LCSW, CADC's specialties?
  • A: Maribeth Rose Dettlaff MSW, LCSW, CADC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Maribeth Rose Dettlaff MSW, LCSW, CADC?
  • A: The medical license number for Maribeth Rose Dettlaff MSW, LCSW, CADC is 12548 and issued in WI in USA.
  • Q: Where is Maribeth Rose Dettlaff MSW, LCSW, CADC practice location?
  • A: Maribeth Rose Dettlaff MSW, LCSW, CADC is practicing at 500 Riverview Ave Ste 2, Waukesha, WI 53188.
  • Q: How to contact Maribeth Rose Dettlaff MSW, LCSW, CADC?
  • A: You can contact Maribeth Rose Dettlaff MSW, LCSW, CADC via 262-548-7399.
Medicare Specialty
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Addiction Medicine
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