NPI 1528486263 · live from the CMS NPI Registry
Alan Sumwalt Psychotherapies LLC
Social Worker, Clinical in Pewaukee, WI. National Provider Identifier 1528486263, active.
NPI record
| NPI | 1528486263 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 146 Park Ave, Pewaukee, Wi, Pewaukee, WI 53072 |
| Practice phone | 414-588-6452 |
| Enumerated | March 31, 2014 |
| Last updated | March 31, 2014 |
| Authorized official | Alan Sumwalt, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Adult Mental Health | 261QM0850X | 346-123 (WI) |
| Social Worker, Clinical primary | 1041C0700X | 346-123 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.