Ms Ellen Claire Pederson-lewis, LCSW - in Brookfield, WI

Ms Ellen Claire Pederson-lewis, LCSW is a Marriage & Family Therapist based in Brookfield, Wisconsin. Ms Ellen Claire Pederson-lewis is licensed to practice in Wisconsin (license number 401-124) and her current practice location is 675 N Brookfield Rd, Ste 101, Brookfield, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 641-9300.

NPI number for Ms Ellen Claire Pederson-lewis is 1649306317 and her current mailing address is 7717 N Boyd Way, Fox Point, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649306317.

Contact Information

Ms Ellen Claire Pederson-lewis, LCSW
675 N Brookfield Rd, Ste 101,
Brookfield, WI 53045-5858
(262) 641-9300
(262) 641-9307



Healthcare Provider's Profile

Full NameMs Ellen Claire Pederson-lewis
GenderFemale
SpecialityMarriage & Family Therapist
Location675 N Brookfield Rd, Brookfield, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649306317
  • Provider Enumeration Date: 02/26/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Ellen Claire Pederson-lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649306317NPI-NPPES
39296900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1679-123 (Wisconsin)Primary
106H00000XMarriage & Family Therapist 401-124 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ellen Claire Pederson-lewis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Ellen Claire Pederson-lewis, LCSW
7717 N Boyd Way,
Fox Point, WI 53217-3210

Ph: (414) 690-2197
Ms Ellen Claire Pederson-lewis, LCSW
675 N Brookfield Rd, Ste 101,
Brookfield, WI 53045-5858

Ph: (262) 641-9300

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