Provider Demographics
NPI:1396105227
Name:FILUT, MARIA C (LCSW, APSW, SAC-IT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:C
Last Name:FILUT
Suffix:
Gender:F
Credentials:LCSW, APSW, SAC-IT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:C
Other - Last Name:SELIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APSW, SAC-IT
Mailing Address - Street 1:121 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53074-1813
Mailing Address - Country:US
Mailing Address - Phone:262-284-8200
Mailing Address - Fax:262-238-8103
Practice Address - Street 1:121 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:WI
Practice Address - Zip Code:53074-1813
Practice Address - Country:US
Practice Address - Phone:262-284-8200
Practice Address - Fax:262-238-8103
Is Sole Proprietor?:No
Enumeration Date:2016-03-04
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
WI9651-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator