Ms Jonetta Bracken, LCSW CSAC | |
9110 W Lisbon Ave, Milwaukee, WI 53222-2737 | |
(262) 402-2494 | |
Not Available |
Full Name | Ms Jonetta Bracken |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9110 W Lisbon Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184144123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8676-123 (Wisconsin) | Primary |
Entity Name | Progressive Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720153653 PECOS PAC ID: 2466366059 Enrollment ID: O20031118000358 |
Entity Name | Richard Kneip, Ph.d., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20220826002066 |
Mailing Address | Practice Location Address |
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Ms Jonetta Bracken, LCSW CSAC 1655 N Mayfair Rd, P O Box 13062, Milwaukee, WI 53226 Ph: (262) 402-2494 | Ms Jonetta Bracken, LCSW CSAC 9110 W Lisbon Ave, Milwaukee, WI 53222-2737 Ph: (262) 402-2494 |
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 |