Birt, Reginald T

Birt, Reginald T is an individual health care provider with primary practice located at 6815 W Capitol Dr Ste 105 , Milwaukee WI 53216-2056. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Birt, Reginald T can be contacted via phone (414) 522-6800.

Contact Information

Primary practice address
6815 W Capitol Dr Ste 105 Milwaukee WI 53216-2056
Phone: (414) 522-6800
Fax: (414) 240-8497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X 126882-121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8520-123 Wisconsin

Profile Details

NPI number 1487999207
LBN Legal business name Birt, Reginald T
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2012
Last updated May 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487999207 NPPES
Wisconsin MEDICAID 1487999207

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