Provider Demographics
NPI:1013616978
Name:ELMER, JOSIE JEAN (LCSW)
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:JEAN
Last Name:ELMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JOSIE
Other - Middle Name:JEAN
Other - Last Name:ELMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:20725 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-4046
Mailing Address - Country:US
Mailing Address - Phone:608-335-6441
Mailing Address - Fax:
Practice Address - Street 1:20725 W NORTH AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-4046
Practice Address - Country:US
Practice Address - Phone:608-335-6441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9342-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical