| Brandon Nite, LCSW | |
|
2102 N 6th St, Wausau, WI 54403-3438 | |
| (208) 403-9508 | |
| Not Available |
| Full Name | Brandon Nite |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2102 N 6th St, Wausau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093587974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11641-123 (Wisconsin) | Primary |
| Entity Name | Behavioral Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831442359 PECOS PAC ID: 8628409885 Enrollment ID: O20200504002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Nite, LCSW 505 1/2 S Webb St, Wittenberg, WI 54499-9147 Ph: () - | Brandon Nite, LCSW 2102 N 6th St, Wausau, WI 54403-3438 Ph: (208) 403-9508 |
Mr. William B Schmelzer, MSW, ACSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 903 2nd St, Wausau, WI 54403 Phone: 715-842-3346 Fax: 715-842-3344 | |
Karen M Loka, ICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, Wausau, WI 54403 Phone: 715-848-4600 | |
Stacey E Saunders, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 S 24th Ave, Wausau, WI 54401 Phone: 715-843-1902 Fax: 715-848-2959 | |
Shannon Cole-cameron, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Julie M Jensen, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Mr. Travis Jon Forst, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 903 2nd St, Wausau, WI 54403 Phone: 715-842-3346 Fax: 715-842-3344 |