Provider Demographics
NPI:1083966964
Name:EIFF, JAMES F (MSW CAPSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:EIFF
Suffix:
Gender:M
Credentials:MSW CAPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 N GRANDVIEW BLVD
Mailing Address - Street 2:104
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1686
Mailing Address - Country:US
Mailing Address - Phone:262-446-9981
Mailing Address - Fax:262-446-9983
Practice Address - Street 1:2607 N GRANDVIEW BLVD
Practice Address - Street 2:104
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1686
Practice Address - Country:US
Practice Address - Phone:262-446-9981
Practice Address - Fax:262-446-9983
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI128077-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker