Sandra Lee Westphal | Milwaukee, WI • PECOS Search

Sandra Lee Westphal

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295-4400

(414) 384-2000 (715) 832-5454

PECOS Enrollment

Based on the most recent information from CMS, provider Sandra Lee Westphal 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
1750400453
Provider Type
Individual
Full Name
Westphal, Sandra Lee
Credential
BA

Gender
Female
Sole Proprietor
No
Enumeration Date
3/27/2007
Last Updated
2/24/2021

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295-4400

Unlisted Fax

Mailing Location

221 W Madison St, Eau Claire, WI 54703-4400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 8274-123 Wisconsin