Breanna L Vonck, LCSW | |
436 E Longview Dr Ste A, Appleton, WI 54911-2166 | |
(920) 239-5017 | |
Not Available |
Full Name | Breanna L Vonck |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 436 E Longview Dr Ste A, Appleton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891077806 | NPI | - | NPPES |
189107706 | Medicaid | WI | |
841740049 | Other | WI | MEDICARE PTAN |
443000067 | Other | WI | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7786 (Wisconsin) | Primary |
Entity Name | Badger Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083113021 PECOS PAC ID: 2466714027 Enrollment ID: O20180319001266 |
Mailing Address | Practice Location Address |
---|---|
Breanna L Vonck, LCSW 436 E Longview Dr Ste A, Appleton, WI 54911-2166 Ph: (920) 239-5017 | Breanna L Vonck, LCSW 436 E Longview Dr Ste A, Appleton, WI 54911-2166 Ph: (920) 239-5017 |
Marissa A Mielke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Tri Park Way Bldg 2, Appleton, WI 54914 Phone: 920-809-4125 | |
Ms. Suzan L. Myhre, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3301 N Ballard Rd Ste C, Appleton, WI 54911 Phone: 920-202-3954 Fax: 920-202-3964 | |
Ms. Michelle Kennedy Coenen, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Ste 550, Appleton, WI 54915 Phone: 920-738-2700 Fax: 920-738-8051 | |
Mrs. Katherine Anne Chaganos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 S Walnut St, Appleton, WI 54911 Phone: 920-832-5270 Fax: 920-832-4767 | |
Ms. Kim S Charniak, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451 | |
Ms. Pakou Thao, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 N Mccarthy Rd Ste P, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164 | |
Amie Nicole Towne, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 330 W College Ave Ste 303, Appleton, WI 54911 Phone: 617-379-0496 |