MS. TRENACE MARY UTTKE (NPI# 1659576288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659576288 |
| Entity Type | Individual |
| Full Name | MS. TRENACE MARY UTTKE |
| Credential | MS |
| Practice Address |
4929 W Fond Du Lac Ave Milwaukee WI 53216-2324 |
| Mailing Address |
503 S 71st St Milwaukee WI 53214-1636 |
| Practice Telephone | 4148716122 |
| Practice Fax Number | 4148712552 |
| Mailing Telephone | 4144560708 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13278-130 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | SUBSTANCE ABUSE COUNSELOR | 13278-130 | 01 |
| Street Address |
4929 W FOND DU LAC AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952465783 | Susan Beverly Collyard | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2006-12-19 |
| 1881236057 | Nyairah Shana Abdullah | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1508408626 | Shelby Wilson | Counselor | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1639711856 | Ayasha Nichelle Marshall | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-10-09 |
| 1669932398 | Latasha N Woods | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2019-03-20 |
| 1700369212 | Esma Yvonne Mitchell | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-11 |
| 1053894584 | Nicole T. Gail | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-11 |
| 1124501655 | Dorothy S. Stevenson | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-11 |
| 1417430158 | Kristina Marie Schramkowski | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2018-09-10 |
| 1043722861 | Joan Patricia Roseman | Case Manager/Care Coordinator | 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1932733193 | 1 Step Away Divine Counseling Service LLC | Counselor | 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 | 2020-02-26 |
| 1689216293 | Carollyn Black | Counselor | 4892 N 19th St, Milwaukee, WI 53209-5757 | 2019-10-15 |
| 1861046146 | Lisa Marie Ortiz | Counselor | 3336 S 76th St, Milwaukee, WI 53219-3805 | 2019-07-25 |
| 1891359576 | Kenneth Ginlack Sr Consulting Services LLC | Counselor | 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 | 2019-04-27 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1992280218 | Tanya Lynn Peters | Counselor | 9224 W Burleigh St, Milwaukee, WI 53222-3503 | 2018-10-02 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| Find all providers in MILWAUKEE | ||||
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| 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.