Provider Demographics
NPI:1215395603
Name:TREMBACKI, ALISON (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:
Last Name:TREMBACKI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14900 LIBRARY LN
Mailing Address - Street 2:UNIT 329
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-5395
Mailing Address - Country:US
Mailing Address - Phone:630-334-9743
Mailing Address - Fax:
Practice Address - Street 1:14900 LIBRARY LN
Practice Address - Street 2:UNIT 329
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-5395
Practice Address - Country:US
Practice Address - Phone:630-334-9743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9141-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical