Peter Forbes Derpinghaus | Milwaukee, WI • PECOS Search

Peter Forbes Derpinghaus

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295-0001

(414) 384-2000 (414) 520-0671

PECOS Enrollment

Based on the most recent information from CMS, provider Peter Forbes Derpinghaus does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1104668730
Provider Type
Individual
Full Name
Derpinghaus, Peter Forbes
Title
Mr.
Credential
MSW, LCSW

Gender
Male
Sole Proprietor
No
Enumeration Date
6/12/2024
Last Updated
6/12/2024

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295-0001

Unlisted Fax

Mailing Location

1504 E Marion St, Shorewood, WI 53211-1559

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 9539 Wisconsin