Provider Demographics
NPI:1568898633
Name:STATZ, CLAUDIA L (APSW)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:L
Last Name:STATZ
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5726 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-3444
Mailing Address - Country:US
Mailing Address - Phone:414-257-3622
Mailing Address - Fax:414-257-3633
Practice Address - Street 1:5726 W NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-3444
Practice Address - Country:US
Practice Address - Phone:414-257-3622
Practice Address - Fax:414-257-3633
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1710-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker