Basic Information
| Provider Information | |||||||||
| NPI: | 1477668937 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARTLEIN | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2021 E ESTES ST | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532072307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4147471842 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4811 S 76TH ST | ||||||||
| Address2: | |||||||||
| City: | GREENFIELD | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532204364 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2627891191 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2006 | ||||||||
| LastUpdateDate: | 02/07/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 1743123 | WI | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 163W00000X | 72571030 | WI | N | Nursing Service Providers | Registered Nurse |
No ID Information.