Individual
ELYSE ANN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(800) 438-1772
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(800) 438-1772
(262) 293-9737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
132362-121
WI
1041C0700X
Clinical Social Worker
Primary
11757-123
WI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
02/20/2026
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