Provider Demographics
NPI:1760703862
Name:HIGLEY, ELLEN JULINA (MSSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:JULINA
Last Name:HIGLEY
Suffix:
Gender:F
Credentials:MSSW, LCSW
Other - Prefix:MS
Other - First Name:ELLEN
Other - Middle Name:JULINA
Other - Last Name:ALSTERBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSSW,LCSW
Mailing Address - Street 1:3610 PINE PL
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-7149
Mailing Address - Country:US
Mailing Address - Phone:715-831-8972
Mailing Address - Fax:
Practice Address - Street 1:S5300 STATE ROAD 37
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-8628
Practice Address - Country:US
Practice Address - Phone:715-835-4530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-13
Last Update Date:2010-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6525-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical