Individual ProviderMichelle B KittelsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave Bldg 111, Milwaukee, WI 53295-0001(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Michelle B Kittelson 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 34 days ago.Profile DetailsProvider ID1588268924Provider TypeIndividualFull NameKittelson, Michelle BCredentialSOCIAL WORKERGenderFemaleSole ProprietorNoEnumeration Date11/25/2020Last Updated11/25/2020Contact InformationPractice LocationPractice Address5000 W National Ave Bldg 111, Milwaukee, WI 53295-0001Phone(414) 384-2000Fax(414) 389-4185Mailing LocationMailing Address5000 W National Ave Bldg 111, Milwaukee, WI 53295-0001Phone(414) 384-2000Fax(414) 389-4185Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense131797Wisconsin