Individual
ELIKA ANNE SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
920 60TH ST, KENOSHA, WI 53140-4041
(262) 654-5333
(262) 654-7818
Mailing address
7221 3RD AVE, KENOSHA, WI 53143-5560
(262) 656-0328
(262) 656-0338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2828-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39252500
BLUE CROSS
WI
05
—
39252500
—
WI
Enumeration date
02/19/2007
Last updated
07/08/2007
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