Marcia Vasta, | |
123 N Oakland Ave, Green Bay, WI 54303-2831 | |
(920) 770-4088 | |
(651) 705-0026 |
Full Name | Marcia Vasta |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 123 N Oakland Ave, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548329691 | NPI | - | NPPES |
39599500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Sherman Counseling Management Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235251349 PECOS PAC ID: 8921338187 Enrollment ID: O20191001002490 |
Mailing Address | Practice Location Address |
---|---|
Marcia Vasta, Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3298 | Marcia Vasta, 123 N Oakland Ave, Green Bay, WI 54303-2831 Ph: (920) 770-4088 |
Holly Sage, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-431-2500 | |
Jayne E Von Der Linden, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Crooks St, Green Bay, WI 54301 Phone: 920-436-6800 Fax: 920-432-5966 | |
Kavita Carlson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2680 Vernon Dr, Green Bay, WI 54304 Phone: 920-496-4700 | |
Joseph David Hoelscher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 760 Pilgrim Way, Green Bay, WI 54304 Phone: 920-496-4700 Fax: 920-496-4705 | |
Rebecca Marie Barrett, MSW APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Crooks St, Green Bay, WI 54301 Phone: 920-436-6800 Fax: 920-437-3540 | |
Shannon M Anderson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 888-974-5769 | |
Lorelle Berglund, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 888-974-5769 |