Denise Koivula | Milwaukee, WI • PECOS Search

Denise Koivula

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Denise Koivula 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
1699248849
Provider Type
Individual
Full Name
Koivula, Denise
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
1/9/2019
Last Updated
1/9/2019

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295-0001

Unlisted Fax

Mailing Location

1158 Saratoga Pkwy, Oconomowoc, WI 53066-4440

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 8913-123 Wisconsin