Provider Demographics
NPI:1962678581
Name:SCHRAMKA-COHEN, JANE MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:MARIE
Last Name:SCHRAMKA-COHEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 E CUMBERLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-1236
Mailing Address - Country:US
Mailing Address - Phone:414-962-4827
Mailing Address - Fax:
Practice Address - Street 1:1901 E CUMBERLAND BLVD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-1236
Practice Address - Country:US
Practice Address - Phone:414-962-4827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-03
Last Update Date:2008-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI279-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39669200Medicaid