Individual ProviderKrista Kay UngerleiderSocial WorkerBehavioral Health & Social Service ProvidersPractice AddressVa Medical Center-5000 W National Ave, Domiciliary Building 43, Milwaukee, WI 53295-0001(414) 384-2000(414) 421-2240PECOS EnrollmentBased on the most recent information from CMS, provider Krista Kay Ungerleider 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 2 days ago.Profile DetailsProvider ID1265461123Provider TypeIndividualFull NameUngerleider, Krista KayCredentialMSSW, LCSWGenderFemaleSole ProprietorYesEnumeration Date7/2/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressVa Medical Center-5000 W National Ave, Domiciliary Building 43, Milwaukee, WI 53295-0001Phone(414) 384-2000Fax(414) 902-5430Mailing LocationMailing Address8249 S 42nd St, Franklin, WI 53132-7811Phone(414) 421-2240FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6847-123Wisconsin