Provider Demographics
NPI:1720717168
Name:REINKE, MADELINE E (LCSW)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:E
Last Name:REINKE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:E
Other - Last Name:SABEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:740 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-4136
Mailing Address - Country:US
Mailing Address - Phone:414-915-9187
Mailing Address - Fax:
Practice Address - Street 1:514 RIVERVIEW AVE
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3631
Practice Address - Country:US
Practice Address - Phone:262-547-3388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12149-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical