NPI 1093335150 · live from the CMS NPI Registry
Diana Altstadt, LCSW, CMT
Social Worker, Clinical in Milwaukee, WI. National Provider Identifier 1093335150, active.
NPI record
| NPI | 1093335150 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3522 W Lisbon Ave, Milwaukee, WI 53208 |
| Practice phone | 414-935-8000 |
| Mailing address | 6231 W Lloyd St, Wauwatosa, WI 53213 |
| Enumerated | April 19, 2020 |
| Last updated | June 21, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 7558-123 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.