| Mr James D Wiedenhoeft, LCSW | |
|
1049 N Lynndale Dr, 1b, Appleton, WI 54914-3050 | |
| (262) 345-5599 | |
| (262) 345-5608 |
| Full Name | Mr James D Wiedenhoeft |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1049 N Lynndale Dr, Appleton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871706507 | NPI | - | NPPES |
| 2781-123 | Other | WI | LCSW |
| 39-1047224 | Other | WI | TAX ID |
| 39668500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2781-123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James D Wiedenhoeft, LCSW W175n11120 Stonewood Dr, Germantown, WI 53022-6511 Ph: (262) 345-5560 | Mr James D Wiedenhoeft, LCSW 1049 N Lynndale Dr, 1b, Appleton, WI 54914-3050 Ph: (262) 345-5599 |
Marissa A Mielke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Tri Park Way Bldg 2, Appleton, WI 54914 Phone: 920-809-4125 | |
Ms. Suzan L. Myhre, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3301 N Ballard Rd Ste C, Appleton, WI 54911 Phone: 920-202-3954 Fax: 920-202-3964 | |
Ms. Michelle Kennedy Coenen, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Ste 550, Appleton, WI 54915 Phone: 920-738-2700 Fax: 920-738-8051 | |
Mrs. Katherine Anne Chaganos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 S Walnut St, Appleton, WI 54911 Phone: 920-832-5270 Fax: 920-832-4767 | |
Ms. Kim S Charniak, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451 | |
Ms. Pakou Thao, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 N Mccarthy Rd Ste P, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164 | |
Amie Nicole Towne, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 330 W College Ave Ste 303, Appleton, WI 54911 Phone: 617-379-0496 |