Provider Demographics
NPI:1548310444
Name:STEINGRAEBER, JANE MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:MARIE
Last Name:STEINGRAEBER
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:PO BOX 11947
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-0947
Mailing Address - Country:US
Mailing Address - Phone:414-259-3900
Mailing Address - Fax:414-963-0000
Practice Address - Street 1:2015 E NEWPORT AVE
Practice Address - Street 2:SUITE 409
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-2984
Practice Address - Country:US
Practice Address - Phone:414-259-3900
Practice Address - Fax:414-963-0000
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1911-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39288100Medicaid
WI39288100Medicaid