| Mrs Monique Petrine Smitala, LCSW | |
|
612 Clermont St, Antigo, WI 54409-1942 | |
| (715) 842-5577 | |
| (715) 845-8483 |
| Full Name | Mrs Monique Petrine Smitala |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 612 Clermont St, Antigo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396801247 | NPI | - | NPPES |
| 39276900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1703-123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Monique Petrine Smitala, LCSW N3189 Elton South Rd, Elton, WI 54430-9725 Ph: (715) 882-3344 | Mrs Monique Petrine Smitala, LCSW 612 Clermont St, Antigo, WI 54409-1942 Ph: (715) 842-5577 |
Jessica E Rosenberg, MA BA MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 South Superior Street, Antigo, WI 54409 Phone: 715-842-5577 Fax: 715-845-8483 | |
Esmeralda Rawat, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1225 Langlade Rd, Antigo, WI 54409 Phone: 715-627-6694 |