Caryn Bub-standal, LCSW, LMFT in Greenfield, WI - Social Worker

Caryn Bub-standal, LCSW, LMFT is a Social Worker - Clinical based in Greenfield, Wisconsin. Caryn Bub-standal is licensed to practice in Wisconsin (license number 2792-123) and her current practice location is 4811 S. 76th St., Ste. 401, Greenfield, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 325-7741.

NPI number for Caryn Bub-standal is 1851441034 and her current mailing address is 4811 S 76th St Ste 305, Greenfield, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851441034.

Contact Information

	Caryn Bub-standal, LCSW, LMFT
	4811 S. 76th St., Ste. 401, Greenfield, WI 53220
	(414) 325-7741
	(414) 325-7753

Healthcare Provider's Profile

Full Name	Caryn Bub-standal
Gender	Female
Speciality	Social Worker - Clinical
Location	4811 S. 76th St., Greenfield, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1851441034
Provider Enumeration Date: 01/11/2007
Last Update Date: 09/26/2022

Medical Identifiers

Medical identifiers for Caryn Bub-standal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851441034	NPI	-	NPPES
391805443007	Other	WI	BCBS
39645500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	471-124 (Wisconsin)	Secondary
106H00000X	Marriage & Family Therapist	186-124 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	2792-123 (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. Caryn Bub-standal 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 Address	Practice Location Address
Caryn Bub-standal, LCSW, LMFT 4811 S 76th St Ste 305, Greenfield, WI 53220-4364 Ph: (414) 325-7741	Caryn Bub-standal, LCSW, LMFT 4811 S. 76th St., Ste. 401, Greenfield, WI 53220 Ph: (414) 325-7741

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