Provider Demographics
NPI:1700963352
Name:LOESCHER, JANELL M (LCSW)
Entity type:Individual
Prefix:MS
First Name:JANELL
Middle Name:M
Last Name:LOESCHER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JANELL
Other - Middle Name:M
Other - Last Name:MUCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:4800 N SCOTTSDALE RD STE 2500
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7630
Mailing Address - Country:US
Mailing Address - Phone:608-236-4460
Mailing Address - Fax:
Practice Address - Street 1:5315 WALL ST STE 290
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-7965
Practice Address - Country:US
Practice Address - Phone:608-236-4460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI129-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40984100Medicaid
WI000084044Medicare PIN