Mrs Kathleen Fenno Mcnulty, LCSW | |
1220 Mound Ave, Suite 301, Racine, WI 53404-3350 | |
(262) 633-3591 | |
(262) 633-2619 |
Full Name | Mrs Kathleen Fenno Mcnulty |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 1220 Mound Ave, Racine, 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 |
---|---|---|---|
1023027414 | NPI | - | NPPES |
40984300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7210-123 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension All Saints Hospital | Racine, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheaton Franciscan Medical Group Inc | 8628980943 | 565 |
Entity Name | Ascension All Saints Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639123284 PECOS PAC ID: 4880504935 Enrollment ID: O20031104000055 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kathleen Fenno Mcnulty, LCSW 1220 Mound Ave, Suite 301, Racine, WI 53404-3350 Ph: (262) 633-3591 | Mrs Kathleen Fenno Mcnulty, LCSW 1220 Mound Ave, Suite 301, Racine, WI 53404-3350 Ph: (262) 633-3591 |
Mary Monica Weber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1220 Mound Ave, Ste 301, Racine, WI 53404 Phone: 262-633-3591 Fax: 262-633-2619 | |
Jack A Plate, LCSW,LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4810 Northwestern Ave, Racine, WI 53406 Phone: 262-637-9984 Fax: 262-637-9995 | |
John Tate Ii, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 7th St, Racine, WI 53403 Phone: 262-634-2391 | |
Sara Aranda, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 937 Hayes Ave, Racine, WI 53405 Phone: 262-744-9110 | |
Stephanie B Hanson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 Wisconsin Ave, Suite 303, Racine, WI 53403 Phone: 262-635-5520 Fax: 262-635-5530 | |
Carole Ann Della Pia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6233 Durand Ave, Suite F, Racine, WI 53406 Phone: 262-554-8165 Fax: 262-554-8165 |