Individual
MS. ELLEN CLAIRE PEDERSON-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
675 N BROOKFIELD RD, STE 101, BROOKFIELD, WI 53045-5858
(262) 641-9300
(262) 641-9307
Mailing address
7717 N BOYD WAY, FOX POINT, WI 53217-3210
(414) 690-2197
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1679-123
WI
106H00000X
Marriage & Family Therapist
Primary
401-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39296900
—
WI
Enumeration date
02/26/2007
Last updated
09/11/2025
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