Allie Gavin, LCSW | |
1045 W Glen Oaks Ln Ste 1, Mequon, WI 53092-3477 | |
(262) 241-7778 | |
(262) 335-6827 |
Full Name | Allie Gavin |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 7 Years |
Location | 1045 W Glen Oaks Ln Ste 1, Mequon, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891386827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9488 (Wisconsin) | Primary |
104100000X | Social Worker | 9488-123 (Wisconsin) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mequon Clinical Associates Sc | 5092876524 | 8 |
Entity Name | Washington County Wisconsin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609801778 PECOS PAC ID: 1951202142 Enrollment ID: O20040120000487 |
Entity Name | Mequon Clinical Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326296518 PECOS PAC ID: 5092876524 Enrollment ID: O20081203000047 |
Mailing Address | Practice Location Address |
---|---|
Allie Gavin, LCSW 1045 W Glen Oaks Ln Ste 1, Mequon, WI 53092-3477 Ph: (262) 241-7778 | Allie Gavin, LCSW 1045 W Glen Oaks Ln Ste 1, Mequon, WI 53092-3477 Ph: (262) 241-7778 |
Christine Wielgos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11518 N Port Washington Rd Ste 202, Mequon, WI 53092 Phone: 262-244-6177 Fax: 262-299-3040 | |
Ms. Polly Elizabeth Drew, LCSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 W Glen Oaks Ln, Suite 205, Mequon, WI 53092 Phone: 262-478-0888 Fax: 262-478-9329 | |
Joshua Robert Neujahr, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-6127 | |
Whitney Gilbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-7522 | |
Megan R Ambros, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11649 N Port Washington Rd Ste 201, Mequon, WI 53092 Phone: 262-789-1191 | |
Melissa G Hale, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14135 N. Cedarburg Rd, Mequon, WI 53097 Phone: 262-424-6624 Fax: 262-377-5552 | |
Elizabeth Ann Laurila, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W Market St, Mequon, WI 53092 Phone: 262-241-5955 |