NPI 1386678423 · live from the CMS NPI Registry
Affiliated Wellness Group LLC
Social Worker in Pewaukee, WI. National Provider Identifier 1386678423, active.
NPI record
| NPI | 1386678423 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | N27w23960 Paul Rd Ste 202, Pewaukee, WI 53072 |
| Practice phone | 262-646-8288 |
| Enumerated | July 11, 2006 |
| Last updated | March 31, 2020 |
| Authorized official | Joelle Ottoson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.