| Ms Dominique Shantelle Pritchett, LCSW | |
|
4536 22nd Ave, Kenosha, WI 53140-5917 | |
| (262) 656-0044 | |
| (262) 653-2218 |
| Full Name | Ms Dominique Shantelle Pritchett |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4536 22nd Ave, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356605323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 128010-121 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7981-123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dominique Shantelle Pritchett, LCSW 3615 15th St, Apt. 2c, Kenosha, WI 53144-4717 Ph: (262) 496-8897 | Ms Dominique Shantelle Pritchett, LCSW 4536 22nd Ave, Kenosha, WI 53140-5917 Ph: (262) 656-0044 |
Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502 | |
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379 | |
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818 | |
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718 | |
Shonda Lynn Gagliano, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7723 32nd Ave, Kenosha, WI 53142 Phone: 262-573-4549 | |
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531 | |
Mr. Christopher Michael David, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406 |