Individual
MS. SUSAN M BUELOW-GODEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16535 W BLUEMOUND RD STE 305, BROOKFIELD, WI 53005
(800) 438-1772
(262) 345-5562
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(262) 345-5560
(262) 345-5531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1967-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39620900
—
WI
Enumeration date
08/01/2006
Last updated
04/12/2026
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