Gabriela Palomino Mccomb, LCSW | |
12065 W Janesville Rd Ste 300b, Hales Corners, WI 53130-2368 | |
(414) 207-6688 | |
Not Available |
Full Name | Gabriela Palomino Mccomb |
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Gender | Female |
Speciality | Social Worker |
Location | 12065 W Janesville Rd Ste 300b, Hales Corners, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780023663 | NPI | - | NPPES |
1780023663 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 9581 (Wisconsin) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Primary |
Entity Name | Sixteenth Street Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417912999 PECOS PAC ID: 6709876857 Enrollment ID: O20040512001352 |
Mailing Address | Practice Location Address |
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Gabriela Palomino Mccomb, LCSW 12229 W Mcshane Rd, Franklin, WI 53132-2003 Ph: (414) 207-6688 | Gabriela Palomino Mccomb, LCSW 12065 W Janesville Rd Ste 300b, Hales Corners, WI 53130-2368 Ph: (414) 207-6688 |
Mrs. Alison Durfee, LAPSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9600 W Grange Ave, Hales Corners, WI 53130 Phone: 630-942-8803 Fax: 630-984-4321 | |
Debra Reid, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12300 W Janesville Rd, Hales Corners, WI 53130 Phone: 414-529-6700 | |
Ms. Janet Doyle, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5620 S Forest Park Dr, Hales Corners, WI 53130 Phone: 414-795-6237 | |
Mr. Dennis Keith Wolf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12065 W Janesville Road, Hales Corners, WI 53130 Phone: 414-425-2655 | |
Mr. David Francis Timmer, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5300 S 108th St, 12b, Hales Corners, WI 53130 Phone: 414-529-2591 Fax: 414-529-2669 | |
Mr. William E. Leon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6110 S 106th St, Hales Corners, WI 53130 Phone: 414-231-4000 Fax: 414-231-4010 |