Mr James V Drake, LCSW | |
300 Crooks Street, Green Bay, WI 54305-2308 | |
(920) 436-6800 | |
(920) 432-5966 |
Full Name | Mr James V Drake |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 34 Years |
Location | 300 Crooks Street, Green Bay, 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 |
---|---|---|---|
1245326172 | NPI | - | NPPES |
39639700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3078123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Services Of Northeast Wisconsin Inc | 7214832229 | 7 |
Entity Name | Family Services Of Northeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275525925 PECOS PAC ID: 7214832229 Enrollment ID: O20031203000498 |
Mailing Address | Practice Location Address |
---|---|
Mr James V Drake, LCSW 300 Crooks Street, Po Box 22308, Green Bay, WI 54305-2308 Ph: (920) 436-6800 | Mr James V Drake, LCSW 300 Crooks Street, Green Bay, WI 54305-2308 Ph: (920) 436-6800 |
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 |