Luke Debauche
Luke Debauche is a Clinical Social Worker in Milwaukee, Wisconsin. Qualified in 2007, 19 years ago. Practices with Vivent Health Inc, a 54-clinician group and accepts Medicare assignment.
- Years since qualifying
- 19
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
820 N Plankinton AveMilwaukee, WI 53203-1802
Phone: (414) 223-6800
Fax: (414) 273-2357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1619133352 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 1, 2008 |
| Last updated in NPPES | January 5, 2022 |
| Certification date | January 5, 2022 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Vivent Health Inc — 54 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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