ELIESE CHRISTINE RUCKTENWALD M.S.W., LCSW
NPI 1689851313
Social Worker - Clinical in Brown Deer, WI

Q: What is Eliese Rucktenwald's NPI number?

The NPI number for Eliese Rucktenwald is 1689851313. It was assigned to this individual provider in the NPPES registry on January 24, 2008.

Q: What is Eliese Rucktenwald's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since January 24, 2008PECOS Enrolled

3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209(414) 540-1270(414) 540-2171 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Eliese Christine Rucktenwald M.s.w., Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIESE CHRISTINE RUCKTENWALD M.S.W., LCSW (NPI 1689851313) is an individual clinical provider in Brown Deer, Wisconsin, licensed in Wisconsin (7639-123) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1689851313

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELIESE CHRISTINE RUCKTENWALDCredential: M.S.W., LCSW

Location Address3900 W BROWN DEER RD, SUITE 200Brown Deer, WI 53209-1220

Mailing Address3900 W Brown Deer Rd, Suite 200Brown Deer, WI 53209-1220 · (414) 540-1270 · Fax (414) 540-2171

Phone(414) 540-1270

Fax(414) 540-2171

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJanuary 24, 2008

Last NPPES UpdateJuly 18, 2012

✔ NPI 1689851313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 7639-123

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3900 W BROWN DEER RD, Brown Deer, WI 53209

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eliese Christine Rucktenwald M.s.w., Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739323304

PECOS Enrollment IDI20130920000536

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSE B. TORRES PHD.

Social Worker (Clinical)

3900 W BROWN DEER RD
BROWN DEER, WI 53209

Milwaukee County (414) 540-2170

ZOE FAIVRE WERTH M.S.

Counselor (Professional)