Anastasia K Luebke, LCSW
Social Worker, Clinical in Oshkosh, WI. Individual provider (NPI-1).
NPI number1619084167
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1619084167
- Entity type
- Individual (NPI-1)
- Name
- Ms. Anastasia K Luebke
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1993-121 | WI | Yes |
| 1041C0700X | Social Worker, Clinical | 7150-123 | WI |
Practice location
855 N Westhaven DrOshkosh, WI 54904-7668
Phone 920-303-8700 · Fax 920-456-5831
Mailing address
Po Box 735044Chicago, IL 60673-5044
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