Katherine Marie Hulbert, LCSW | |
809 Park Ave, Beaver Dam, WI 53916-2205 | |
(920) 887-3171 | |
(920) 887-8622 |
Full Name | Katherine Marie Hulbert |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 809 Park Ave, Beaver Dam, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548607963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7938-123 (Wisconsin) | Primary |
1041C0700X | Social Worker - Clinical | 149.012494 (Illinois) | Secondary |
Entity Name | Open Door Center For Change, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215068069 PECOS PAC ID: 2860598711 Enrollment ID: O20070509000503 |
Mailing Address | Practice Location Address |
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Katherine Marie Hulbert, LCSW 6502 Grand Teton Plaza Suite 206, Madison, WI 53719-1047 Ph: (608) 827-7220 | Katherine Marie Hulbert, LCSW 809 Park Ave, Beaver Dam, WI 53916-2205 Ph: (920) 887-3171 |
Sarah Soltis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N7801 County Road Fw, Beaver Dam, WI 53916 Phone: 262-442-1406 | |
Ms. Amy Scott, CSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-821-0071 | |
Sandra L Schwefel Massie, RN LDCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 108 N Lincon Avenue, Beaver Dam, WI 53916 Phone: 920-887-8751 Fax: 920-887-3977 | |
Mrs. Phyllis Ann Pleuss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 North Center Street, Lutheran Social Services, Beaver Dam, WI 53916 Phone: 920-887-3172 |