Organization
SHORESIDE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SHERTOK MSW,LCSW (PSYCHOTHERAPIST)
(414) 332-7000
Entity
Organization
Contact information
Practice address
4530 N OAKLAND AVE, MILWAUKEE, WI 53211-1215
(414) 332-7000
(414) 332-2368
Mailing address
4530 N OAKLAND AVE, MILWAUKEE, WI 53211-1215
(414) 332-7000
(414) 332-2368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2844-125
WI
1041C0700X
Clinical Social Worker
2138-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2524
CERT MH OUTPATIENT CLINIC
WI
Enumeration date
05/14/2007
Last updated
09/11/2025
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