LESLIE ANN KONEK-SCHLAX (NPI# 1972663870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972663870 |
| Entity Type | Individual |
| Full Name | LESLIE ANN KONEK-SCHLAX |
| Credential | LCSW |
| Practice Address |
6121 Green Bay Rd Kenosha WI 53142-2926 |
| Mailing Address |
4633 Washington Rd Kenosha WI 53144-4220 |
| Practice Telephone | 2626527222 |
| Practice Fax Number | 2626521734 |
| Mailing Telephone | 2626527222 |
| Mailing Fax Number | 2626521734 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2531-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39555200 | 05 | |
| TRICARE (CHAMPUS) | W009675 | 01 | |
| CENPATICO BEHAVIORAL HLTH | 900693 | 01 | |
| VALUE OPTIONS | 182658 | 01 | |
| AETNA | 7093066 | 01 | |
| UNITED BEHAVIORAL HEALTH | 80448 | 01 | |
| MANAGED HEALTH NETWORK | 234314 | 01 |
| Street Address |
6121 GREEN BAY RD |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861428674 | Sharon Lynn O'brien | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2006-06-23 |
| 1205476603 | Drew Velasco | Nurse Practitioner | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2020-01-14 |
| 1619398005 | Shellie K Babcock | Community/Behavioral Health | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2014-01-02 |
| 1205103223 | Victoria H Biehn | Counselor | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2011-11-18 |
| 1881922300 | Janice Kampa-tews | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2009-11-20 |
| 1952486011 | Michael Houle | Counselor | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 | 2006-10-26 |
| 1104901263 | Nicole Johnson | Counselor | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 | 2006-10-26 |
| 1467537423 | Debra Johansen | Psychologist | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 | 2006-10-26 |
| 1366526097 | Fleming Psychological Services, Sc | Counselor | 6121 Green Bay Rd, Ste. 230, Kenosha, WI 53142-2926 | 2006-10-25 |
| 1376560946 | Virginia V Fennema | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1811500358 | Kristen A Palmer | Social Worker | 3536 52nd St, Kenosha, WI 53144-2662 | 2020-08-25 |
| 1245773480 | Rochelle Anderson-moore | Social Worker | 3623 15th St, Apt 2b, Kenosha, WI 53144-4713 | 2016-11-21 |
| 1013264555 | Jessie Michelle Lohr | Social Worker | 4806 27th St, Kenosha, WI 53144-1360 | 2012-08-14 |
| 1033718440 | Mackenzie Dodge | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-19 |
| 1407454572 | Reed Stanek | Social Worker | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2020-10-12 |
| 1770181844 | Anna Rose Amari | Social Worker | 4536 22nd Ave, Kenosha, WI 53140-5917 | 2020-10-12 |
| 1356958995 | Antigona Bajraktari | Social Worker | 4109 67th St, Kenosha, WI 53142-3836 | 2020-09-28 |
| 1588122253 | Carissa Johnson | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-03-12 |
| 1780166603 | Evoanna Kelley | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-09-06 |
| Find all providers in KENOSHA | ||||
Please comment or provide details below to improve the information on LESLIE ANN KONEK-SCHLAX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.