Stagg, Jennifer L

Stagg, Jennifer L is an individual health care provider with primary practice located at 6040 W Lisbon Ave Suite 103, Milwaukee WI 53210-2116. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Stagg, Jennifer L can be contacted via phone (414) 442-1751.

Contact Information

Primary practice address
6040 W Lisbon Ave Suite 103 Milwaukee WI 53210-2116
Phone: (414) 442-1751
Fax: (414) 442-1775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 8864-123 Wisconsin

Profile Details

NPI number 1609906015
LBN Legal business name Stagg, Jennifer L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609906015 NPPES
Wisconsin MEDICAID 43730200

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