Provider Demographics
NPI:1104956085
Name:VEILLEUX, ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:VEILLEUX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 HILL ST STE 250
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-3572
Mailing Address - Country:US
Mailing Address - Phone:608-535-9266
Mailing Address - Fax:608-221-9439
Practice Address - Street 1:715 HILL ST STE 250
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-3572
Practice Address - Country:US
Practice Address - Phone:608-535-9266
Practice Address - Fax:608-221-9439
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI33361231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39672000Medicaid
WI39672000Medicaid