Tammi Lynn Wagnitz | Milwaukee, WI • PECOS Search

Tammi Lynn Wagnitz

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295-0001

(414) 384-2000 (414) 477-8465

PECOS Enrollment

Based on the most recent information from CMS, provider Tammi Lynn Wagnitz 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1316436058
Provider Type
Individual
Full Name
Wagnitz, Tammi Lynn
Credential
APSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/8/2018
Last Updated
5/8/2018

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295-0001

Unlisted Fax

Mailing Location

11009 N San Marino Dr, Mequon, WI 53092-5851

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 130924-121 Wisconsin