Provider Demographics
NPI:1265641336
Name:MALEN AND ASSOCIATES
Entity Type:Organization
Organization Name:MALEN AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:CAROLEE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MALEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-271-1718
Mailing Address - Street 1:759 N MILWAUKEE ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-3795
Mailing Address - Country:US
Mailing Address - Phone:414-271-1718
Mailing Address - Fax:
Practice Address - Street 1:759 N. MILWAUKEE ST
Practice Address - Street 2:SUITE 600
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202
Practice Address - Country:US
Practice Address - Phone:414-271-1718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI26041231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty