| Jeanine S Fair, MSW, CICSW | |
|
2901 Hunters Trl, Portage, WI 53901-3403 | |
| (608) 742-5518 | |
| (608) 742-4087 |
| Full Name | Jeanine S Fair |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2901 Hunters Trl, Portage, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174551774 | NPI | - | NPPES |
| 39688300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3127-123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanine S Fair, MSW, CICSW 2901 Hunters Trl, Po Box 301, Portage, WI 53901-3403 Ph: (608) 742-5518 | Jeanine S Fair, MSW, CICSW 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518 |
Susan I Quiriconi, MSW CICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 | |
Lynn S Groeschel, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 | |
Mrs. Jessica K Reo, CAPSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd Ste 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-3641 | |
Danielle Rae Pollex-rabl, MSSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2910 New Pinery Rd, Unit A2, Portage, WI 53901 Phone: 608-745-4900 Fax: 608-745-4990 | |
Dawn Woodard, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2652 Murphy Rd, Portage, WI 53901 Phone: 608-742-9717 Fax: 608-742-9700 | |
Philip W Robinson, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2639 New Pinery Rd, Suite 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-5364 |