Provider Demographics
NPI:1801763826
Name:LOPEZ POSADA, LINA M (MSW)
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:M
Last Name:LOPEZ POSADA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12722 W MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-1832
Mailing Address - Country:US
Mailing Address - Phone:414-534-0598
Mailing Address - Fax:414-534-0598
Practice Address - Street 1:5600 W BROWN DEER RD STE 106
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-0004
Practice Address - Country:US
Practice Address - Phone:414-446-8154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI135852-121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health