Search › Wisconsin › 101YA0400X
Maribeth Dettlaff, MSW, LCSW, CADC
NPI 1629132840 · on the registry since 2006 · sole proprietor
Practice
- Address
- 500 Riverview Ave Ste 2
Waukesha, WI 53188 - Phone
- (262) 548-7399
- Clinicians at this address
- 112
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin