Gloria Lynn Fennell, LCSW is a
Social Worker - Clinical based in La Pointe, Wisconsin. Gloria Lynn Fennell is licensed to practice in Wisconsin (license number 1203-123) and her current practice location is
1099 S Shore Rd, La Pointe, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 456-9369.
NPI number for Gloria Lynn Fennell is 1356921548 and her current mailing address is Po Box 162, La Pointe, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356921548.
Healthcare Provider's Profile
Full Name | Gloria Lynn Fennell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1099 S Shore Rd, La Pointe, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356921548
- Provider Enumeration Date: 04/12/2021
- Last Update Date: 04/12/2021
Medical Identifiers
Medical identifiers for Gloria Lynn Fennell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356921548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1203-123 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gloria Lynn Fennell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gloria Lynn Fennell, LCSW Po Box 162, La Pointe, WI 54850-0162 Ph: (715) 456-9369 | Gloria Lynn Fennell, LCSW 1099 S Shore Rd, La Pointe, WI 54850-4516 Ph: (715) 456-9369 |
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