Kucak, Mickey
Kucak, Mickey is an individual health care provider with primary practice located at 8800 Washington Ave Ste 100 , Mount Pleasant WI 53406-3705. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kucak, Mickey can be contacted via phone (262) 633-3591.Contact Information
Primary practice address
8800 Washington Ave Ste 100
Mount Pleasant WI 53406-3705
Phone: (262) 633-3591
Fax: (262) 633-2619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2600-123 | Wisconsin |
Profile Details
| NPI number | 1497771497 |
|---|---|
| LBN Legal business name | Kucak, Mickey |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Feb 10th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497771497 | NPPES |
| Wisconsin | MEDICAID | 1497771497 |
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