OPAL DODD (NPI# 1538346671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538346671 |
| Entity Type | Individual |
| Full Name | OPAL DODD |
| Practice Address |
2187 S 85th St West Allis WI 53227-1747 |
| Practice Telephone | 4143212648 |
| Practice Fax Number | 4143212676 |
| Mailing Telephone | 4143212648 |
| Mailing Fax Number | 4143212676 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14824-130 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | SAC-IT | 14824-130 | 01 |
| Street Address |
2187 S 85TH ST |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407160831 | Social Rehabilitation and Residential Resources, Inc. | Substance Abuse Rehabilitation Facility | 2187 S 85th St, West Allis, WI 53227-1747 | 2010-07-27 |
| 1225215460 | Diane Luebke | Counselor | 2187 S 85th St, West Allis, WI 53227-1747 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457700254 | Cesilia Gonzalez Esparza | Counselor | 1135 S 70th St Ste 401, West Allis, WI 53214-3182 | 2016-06-13 |
| 1285037192 | Leah Davis Keval | Counselor | 1126 S 70th St Ste 112-3, West Allis, WI 53214-3124 | 2014-10-06 |
| 1235480237 | Walter Laux | Counselor | 9401 W Beloit Rd Ste 314, West Allis, WI 53227-4357 | 2012-10-01 |
| 1508071721 | Alejandrina Brito | Counselor | 9330 W Lincoln Ave Ste 21, West Allis, WI 53227-2300 | 2007-05-11 |
| 1144351438 | Keri Mae Lanphear | Counselor | 9330 W Lincoln Ave, Suite 21, West Allis, WI 53227-2300 | 2007-03-08 |
| 1972680833 | Alyona Caravella | Counselor | 1126 S. 70th Street, Suite S-507, West Allis, WI 53214 | 2006-10-31 |
| 1760099493 | Gabrielle Susanne Newman | Counselor | 2814 S 108th St, West Allis, WI 53227-3224 | 2020-09-27 |
| 1881202349 | William R Garrett | Counselor | 2814 S 108th St, West Allis, WI 53227-3224 | 2020-07-21 |
| 1730704719 | Laurie Ann Lorino | Counselor | 6737 W Washington St Ste 2275, West Allis, WI 53214-5666 | 2020-06-15 |
| 1467085613 | James Ryan Gorman | Counselor | 2814 S 108th St, West Allis, WI 53227-3224 | 2020-02-17 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
Please comment or provide details below to improve the information on OPAL DODD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.