Richard J Bronecki, LISW, CEAP, SAP
Social Worker in Beaver Dam, WI. Individual provider (NPI-1).
NPI number1497767040
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497767040
- Entity type
- Individual (NPI-1)
- Name
- Richard J Bronecki
- Credential
- LISW, CEAP, SAP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 3034123 | WI | Yes |
Practice location
108 N Lincoln AveBeaver Dam, WI 53916-2110
Phone 920-887-8751 · Fax 920-922-7440
Mailing address
1040 E Capitol DrHartland, WI 53029-2214
Phone 262-623-1033
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Social Worker providers in Beaver Dam, WI
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- Shannon Michelle Kelly, MSWNPI 1043957095
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- Emily Nelson, CSWNPI 1255895363
- Andrea Petersen, MSWNPI 1093163743
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- J Scott Rhule, MA, LCSW, CSAC, ICSNPI 1831204296
All 9 Social Worker providers in Beaver Dam · All 551 providers in Beaver Dam
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