Mrs Lisa Marie Blaeser, LCSW | |
611 N Broadway, Suite 105, Milwaukee, WI 53202-5000 | |
(414) 431-0801 | |
(414) 431-0804 |
Full Name | Mrs Lisa Marie Blaeser |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 24 Years |
Location | 611 N Broadway, Milwaukee, 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 |
---|---|---|---|
1588782353 | NPI | - | NPPES |
40951000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7067-123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cornerstone Counseling Services Inc | 1456256023 | 126 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Cornerstone Counseling Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446 |
Entity Name | Aurora Psychiatric Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881627438 PECOS PAC ID: 5799682076 Enrollment ID: O20031215000930 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Marie Blaeser, LCSW 1120 E Lyon St, Milwaukee, WI 53202-2128 Ph: (414) 270-0481 | Mrs Lisa Marie Blaeser, LCSW 611 N Broadway, Suite 105, Milwaukee, WI 53202-5000 Ph: (414) 431-0801 |
Mr. Travis Jay Trott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1841 N Prospect Ave, Milwaukee, WI 53202 Phone: 773-993-8708 | |
Meagan Liska, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 | |
Alyssa Starck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2057 S 14th St, Milwaukee, WI 53204 Phone: 414-643-8778 | |
Jaclyn Skalnik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 S 76th St Ste 240, Milwaukee, WI 53214 Phone: 413-367-8070 | |
Anaddia S Clark, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4929 W Fond Du Lac Aveune, Milwaukee, WI 53216 Phone: 414-871-6122 Fax: 414-871-2552 | |
Carisa Marie Dimattina, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-581-4004 | |
Mary M Determan, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5757 W Oklahoma Ave, Suite 203, Milwaukee, WI 53219 Phone: 414-431-6400 Fax: 414-431-6401 |