Mr Justin Hahn, LCSW | |
3614 13th Ave, Kenosha, WI 53140-5400 | |
(808) 724-0297 | |
Not Available |
Full Name | Mr Justin Hahn |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3614 13th Ave, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801500780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149023948 (Illinois) | Primary |
Entity Name | Rockford Psychiatric Medical Services Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821391442 PECOS PAC ID: 6901089515 Enrollment ID: O20110318000777 |
Mailing Address | Practice Location Address |
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Mr Justin Hahn, LCSW 3614 13th Ave, Kenosha, WI 53140-5400 Ph: (808) 724-0297 | Mr Justin Hahn, LCSW 3614 13th Ave, Kenosha, WI 53140-5400 Ph: (808) 724-0297 |
Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502 | |
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379 | |
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818 | |
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718 | |
Shonda Lynn Gagliano, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7723 32nd Ave, Kenosha, WI 53142 Phone: 262-573-4549 | |
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531 | |
Mr. Christopher Michael David, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406 |