Isaac Theodore Kabacinski, LCSW | |
119 N Mccarthy Rd Ste P, Appleton, WI 54913-9112 | |
(920) 903-1060 | |
(920) 903-1164 |
Full Name | Isaac Theodore Kabacinski |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 119 N Mccarthy Rd Ste P, 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 |
---|---|---|---|
1366060469 | NPI | - | NPPES |
100138546 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 131888-121 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 10053-123 (Wisconsin) | Primary |
Entity Name | Us 2 Behavioral Health Care Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083268635 PECOS PAC ID: 1557691151 Enrollment ID: O20191024000284 |
Mailing Address | Practice Location Address |
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Isaac Theodore Kabacinski, LCSW 119 N Mccarthy Rd Ste P, Appleton, WI 54913-9112 Ph: (920) 903-1060 | Isaac Theodore Kabacinski, LCSW 119 N Mccarthy Rd Ste P, Appleton, WI 54913-9112 Ph: (920) 903-1060 |
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 |