Mrs Michele Marie Mastalarz, MSW, LCSW | |
207 E Buffalo St, Suite 510, Milwaukee, WI 53202-5739 | |
(262) 375-1116 | |
(262) 375-1071 |
Full Name | Mrs Michele Marie Mastalarz |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 14 Years |
Location | 207 E Buffalo St, 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 |
---|---|---|---|
1851668669 | NPI | - | NPPES |
128508-121 | Other | WI | APSW |
8124-123 | Other | WI | STATE OF WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES, LCSW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8124-123 (Wisconsin) | Primary |
104100000X | Social Worker | 128508-121 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 270 |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michele Marie Mastalarz, MSW, LCSW 207 E Buffalo St, Suite 510, Milwaukee, WI 53202 Ph: (414) 262-3751 | Mrs Michele Marie Mastalarz, MSW, LCSW 207 E Buffalo St, Suite 510, Milwaukee, WI 53202-5739 Ph: (262) 375-1116 |
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 |