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

Mrs. Desirae Lynn Bannecke, APSW

Individual provider Clinical Social Worker · NPI 1275463606

Mrs. Desirae Lynn Bannecke, APSW is a Clinical Social Worker in Waukesha, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1501 Airport Rd
Waukesha, WI 53188-2461
Phone: (262) 548-7666
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1275463606
Entity typeIndividual (Type 1)
GenderFemale
Credentials APSW
Sole proprietorNo
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

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