Mary Allen, LCSW | |
113 E Main St, Stoughton, WI 53589-1720 | |
(608) 449-7201 | |
Not Available |
Full Name | Mary Allen |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 113 E Main St, Stoughton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659500882 | NPI | - | NPPES |
16-59500882 | Medicaid | WI | |
HE611A | Other | CA | MEDICARE PART B PROVIDER PTAN |
LCSW 8198-123 | Other | WI | STATE OF WISC-DEPT OF SAFETY & PROFESSIONAL SERVICES |
LCS29109 | Other | CA | BOARD OF BEHAVIORAL SCIENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8198-123 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | LCS29109 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mary Allen, LCSW 113 E Main St, Stoughton, WI 53589-1720 Ph: (608) 449-7201 | Mary Allen, LCSW 113 E Main St, Stoughton, WI 53589-1720 Ph: (608) 449-7201 |
Mr. David W Druckenbrod, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1520 Vernon St, Stoughton, WI 53589 Phone: 608-873-6422 | |
Jean Ligocki, MSW, LCSW, CT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 Giles St, Stoughton, WI 53589 Phone: 608-572-3469 | |
Moira O'brien, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589 Phone: 608-873-7838 | |
Jeffrey L Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 Vernon St, Stoughton, WI 53589 Phone: 608-873-1844 Fax: 608-873-6014 | |
Ms. Nancy A Shorrock, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 Vernon St, Stoughton, WI 53589 Phone: 608-873-6422 | |
Aaron Samuel Hagedon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Business Park Cir Ste 202, Stoughton, WI 53589 Phone: 608-698-2744 |