Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maribeth Rose Dettlaff, MSW, LCSW, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629132840

Maribeth Rose Dettlaff, MSW, LCSW, CADC is an Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

500 Riverview Ave Ste 2
Waukesha, WI 53188-3632
Phone: (262) 548-7399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 12548 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 521-123 (WI)

Record details

NPI number1629132840
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , CADC
Sole proprietorYes
NPI enumeratedDecember 21, 2006
Last updated in NPPESSeptember 11, 2025

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