Provider Demographics
NPI:1891089702
Name:KRAUSE, EMILY (LCSW, MSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1268 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-1930
Mailing Address - Country:US
Mailing Address - Phone:608-834-1122
Mailing Address - Fax:702-664-6958
Practice Address - Street 1:1268 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590
Practice Address - Country:US
Practice Address - Phone:608-834-1122
Practice Address - Fax:702-664-6958
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
8114-1231041C0700X
WI8114-1231041C0700X
WI128413-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical