Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen Mary Prividera, LMFT-IT, APSW

Individual provider Marriage & Family Therapist · NPI 1417466681

Colleen Mary Prividera, LMFT-IT, APSW is a Marriage & Family Therapist in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017

Practice location Address checks out

1020 N 12th St
Milwaukee, WI 53233-1308
Phone: (414) 773-4312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 599-228 (WI)

Record details

NPI number1417466681
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT-IT , APSW
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

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