Individual ProviderDale Richard ChristiansenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295-0001(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Dale Richard Christiansen 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 today at 11:47 AM.Profile DetailsProvider ID1609828565Provider TypeIndividualFull NameChristiansen, Dale RichardTitleMr.CredentialMSW, LCSWGenderMaleSole ProprietorNoEnumeration Date5/17/2006Last Updated3/11/2014Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(414) 384-2000Fax(414) 389-4199Mailing LocationMailing Address4543 S 113th St, Greenfield, WI 53228-2564Phone(414) 384-2000Fax(414) 389-4199Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense7079-123Wisconsin