Michael Griffith, MSSW, LICSW | |
1095 Midway Rd, Menasha, WI 54952-1115 | |
(920) 720-2300 | |
(920) 720-3719 |
Full Name | Michael Griffith |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 42 Years |
Location | 1095 Midway Rd, Menasha, 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 |
---|---|---|---|
1427000991 | NPI | - | NPPES |
95D75GR | Other | MN | BLUECROSS/BLUESHIELD ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10360 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 823-123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thedacare, Incorporated | 1759294887 | 509 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Michael Griffith, MSSW, LICSW 122 E College Ave, Appleton, WI 54911-5794 Ph: (920) 996-3264 | Michael Griffith, MSSW, LICSW 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300 |
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 |