Alexandra Marie Moeller, LCSW | |
240 N Milwaukee St Ste 202, Milwaukee, WI 53202-5830 | |
(920) 621-9029 | |
Not Available |
Full Name | Alexandra Marie Moeller |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 240 N Milwaukee St Ste 202, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194273888 | NPI | - | NPPES |
130301-121 | Other | WI | LICENSE |
9314-123 | Other | WI | SOCIAL WORK LICENSE - CLINICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
104100000X | Social Worker | 130301-121 (Wisconsin) | Secondary |
Entity Name | Be The Change Health And Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659991727 PECOS PAC ID: 8022429471 Enrollment ID: O20201116002833 |
Mailing Address | Practice Location Address |
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Alexandra Marie Moeller, LCSW 240 N Milwaukee St Ste 202, Milwaukee, WI 53202-5830 Ph: (920) 621-9029 | Alexandra Marie Moeller, LCSW 240 N Milwaukee St Ste 202, Milwaukee, WI 53202-5830 Ph: (920) 621-9029 |
Mr. Travis Jay Trott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1841 N Prospect Ave, Milwaukee, WI 53202 Phone: 773-993-8708 | |
Meagan Liska, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 | |
Alyssa Starck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2057 S 14th St, Milwaukee, WI 53204 Phone: 414-643-8778 | |
Jaclyn Skalnik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 S 76th St Ste 240, Milwaukee, WI 53214 Phone: 413-367-8070 | |
Anaddia S Clark, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4929 W Fond Du Lac Aveune, Milwaukee, WI 53216 Phone: 414-871-6122 Fax: 414-871-2552 | |
Carisa Marie Dimattina, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-581-4004 | |
Mary M Determan, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5757 W Oklahoma Ave, Suite 203, Milwaukee, WI 53219 Phone: 414-431-6400 Fax: 414-431-6401 |