Mrs Gretchen Anne Ebelt, MSW,LCSW | |
1325 Angels Path, De Pere, WI 54115-4050 | |
(920) 338-2855 | |
(920) 403-7360 |
Full Name | Mrs Gretchen Anne Ebelt |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 26 Years |
Location | 1325 Angels Path, De Pere, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265765564 | NPI | - | NPPES |
1265765564 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7864-123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bellin Psychiatric Center Inc | 4486551058 | 65 |
Entity Name | Bellin Psychiatric Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884 |
Mailing Address | Practice Location Address |
---|---|
Mrs Gretchen Anne Ebelt, MSW,LCSW Po Box 22040, Green Bay, WI 54305-2040 Ph: (920) 445-7222 | Mrs Gretchen Anne Ebelt, MSW,LCSW 1325 Angels Path, De Pere, WI 54115-4050 Ph: (920) 338-2855 |
Danielle M Evenson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 | |
Mr. Charles J Latorre, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 | |
Ms. Sue Anne Huber, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1800 Lawrence Dr, De Pere, WI 54115 Phone: 920-336-1229 Fax: 920-983-3226 | |
Nicole Dufek, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 N Broadway Ste 303, De Pere, WI 54115 Phone: 877-300-9101 | |
Micayla M Selissen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 | |
Emily Schneider, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-338-6870 |