Matthew Mallin, LCSW | |
1520 Madison Ave, Fort Atkinson, WI 53538-3100 | |
(920) 563-5500 | |
Not Available |
Full Name | Matthew Mallin |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 1520 Madison Ave, Fort Atkinson, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841884277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7548-123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fort Healthcare Inc | 0840189718 | 122 |
Entity Name | Fort Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
Mailing Address | Practice Location Address |
---|---|
Matthew Mallin, LCSW 301 Cherokee Ln, Fort Atkinson, WI 53538-3006 Ph: (608) 322-8553 | Matthew Mallin, LCSW 1520 Madison Ave, Fort Atkinson, WI 53538-3100 Ph: (920) 563-5500 |
Mary Alethea Holman, MSSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1631 Janesville Ave, Fort Atkinson, WI 53538 Phone: 920-563-9375 Fax: 920-563-9576 | |
Kathleen Cauley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N3045 County Road J, Fort Atkinson, WI 53538 Phone: 920-728-0520 | |
Margaret M Schroeder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 S Main St, Ste 105, Fort Atkinson, WI 53538 Phone: 920-342-2217 | |
Stephanie P Belzer, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-9542 Fax: 920-568-6047 | |
Elizabeth Ann Hunkins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-9542 | |
Holly Kollwelter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N595 Wishing Well Ln, Fort Atkinson, WI 53538 Phone: 608-345-8482 | |
Christine E Beckman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 509 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-7995 Fax: 920-568-6047 |