Kayla Powers, | |
1478 Kenwood Dr Ste 1, Menasha, WI 54952-1161 | |
(920) 886-9319 | |
Not Available |
Full Name | Kayla Powers |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1478 Kenwood Dr Ste 1, Menasha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619573821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 132169 (Wisconsin) | Primary |
Entity Name | Samaritan Counseling Center Of The Fox Valley, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538175195 PECOS PAC ID: 9234034349 Enrollment ID: O20031203000132 |
Mailing Address | Practice Location Address |
---|---|
Kayla Powers, 1478 Kenwood Dr Ste 1, Menasha, WI 54952-1161 Ph: (920) 886-9319 | Kayla Powers, 1478 Kenwood Dr Ste 1, Menasha, WI 54952-1161 Ph: (920) 886-9319 |
Ms. Vicki Lee Lafountain, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1478 Kenwood Ctr, Menasha, WI 54952 Phone: 920-886-9319 Fax: 920-886-9357 | |
Jill M Cisar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300 Fax: 920-720-3806 | |
Willard J Secor Jr., MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Appleton Rd, Menasha, WI 54952 Phone: 920-739-4226 Fax: 920-432-5966 | |
Heather Mattson, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Appleton Rd, Menasha, WI 54952 Phone: 920-739-4226 Fax: 920-739-7639 | |
Ms. Judith Margaret Doersch, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1478 Kenwood Dr, Menasha, WI 54952 Phone: 920-720-5839 | |
Bayley C Lind, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1810 Appleton Rd, Menasha, WI 54952 Phone: 920-739-4226 Fax: 920-437-3540 | |
Ashley Katz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1478 Kenwood Dr, Suite 1, Menasha, WI 54952 Phone: 920-886-9319 Fax: 920-886-9357 |