Mrs Jodie A Martens, MSW, LCSW | |
W175n11120 Stonewood Dr, Germantown, WI 53022 | |
(800) 438-1772 | |
(262) 345-5562 |
Full Name | Mrs Jodie A Martens |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | W175n11120 Stonewood Dr, Germantown, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598945883 | NPI | - | NPPES |
39798400 | Medicaid | WI | |
7143-123 | Other | WI | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7143-123 (Wisconsin) | Primary |
Entity Name | Wisconsin Lutheran Child And Family Service Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083786628 PECOS PAC ID: 0749233898 Enrollment ID: O20050301000318 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jodie A Martens, MSW, LCSW W175n11120 Stonewood Dr, Germantown, WI 53022-6511 Ph: (800) 438-1772 | Mrs Jodie A Martens, MSW, LCSW W175n11120 Stonewood Dr, Germantown, WI 53022 Ph: (800) 438-1772 |
Mrs. Emma Louise Butler-johnson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: W175n11120 Stonewood Dr, Germantown, WI 53022 Phone: 800-438-1772 Fax: 262-345-5562 | |
Mr. Michael H Savage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: W176 N9830 Rivercrest Dr, #104, Germantown, WI 53022 Phone: 262-250-0051 Fax: 262-250-0061 | |
Alan H Siggelkow, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: W175n11120 Stonewood Dr, Germantown, WI 53022 Phone: 262-345-5560 Fax: 262-345-5562 | |
Ms. Nicole Marie Sanfilippo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: W175n11081 Stonewood Dr Ste 212, Germantown, WI 53022 Phone: 262-707-6619 | |
Elyse Ann Anderson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: W175n11120 Stonewood Dr, Germantown, WI 53022 Phone: 800-438-1772 | |
Mr. Brian Michael Flynn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: W175n11081 Stonewood Dr Ste 212, Germantown, WI 53022 Phone: 262-244-6177 Fax: 262-299-3040 |