Individual ProviderTodd A. WittSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295-0001(414) 384-2000(414) 255-5893PECOS EnrollmentBased on the most recent information from CMS, provider Todd A. Witt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1093068512Provider TypeIndividualFull NameWitt, Todd A.TitleMr.CredentialLCSWGenderMaleSole ProprietorYesEnumeration Date10/22/2012Last Updated10/22/2012Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(414) 384-2000Fax(414) 382-5269Mailing LocationMailing Address9233 N 67th St, Brown Deer, WI 53223-1505Phone(414) 255-5893FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense7238-123Wisconsin