Provider Demographics
NPI:1598815250
Name:DRAJKOWSKI, DAVID SCOTT (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:SCOTT
Last Name:DRAJKOWSKI
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2128 S 67TH PL
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53219-1307
Mailing Address - Country:US
Mailing Address - Phone:414-545-2913
Mailing Address - Fax:
Practice Address - Street 1:216 N WATER ST
Practice Address - Street 2:2
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-5762
Practice Address - Country:US
Practice Address - Phone:414-223-4000
Practice Address - Fax:414-223-2660
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6810-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical