Ms Kerrie Marie Mazeika, MSW, LCSW | |
333 E Washington St, West Bend, WI 53095-2585 | |
(262) 335-4600 | |
Not Available |
Full Name | Ms Kerrie Marie Mazeika |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 333 E Washington St, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457609570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8025-123 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Washington County Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609801778 PECOS PAC ID: 1951202142 Enrollment ID: O20040120000487 |
Mailing Address | Practice Location Address |
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Ms Kerrie Marie Mazeika, MSW, LCSW 333 E Washington St Ste 2100, West Bend, WI 53095-2503 Ph: (262) 335-4600 | Ms Kerrie Marie Mazeika, MSW, LCSW 333 E Washington St, West Bend, WI 53095-2585 Ph: (262) 335-4600 |
Tiffany Dubey, LCSW, SAC-IT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 | |
Mr. Mical Gustave Schaffer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-338-2717 | |
Abby Louise Janssen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767 | |
Diana Azimov, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-306-9800 | |
Ryanne Beth Wendt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 | |
Mrs. Amy R. Schumann, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-338-9498 | |
Stephanie Gudmunsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 333 E Washington St, Suite 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 |