Ms Linda Stoltzman, ACSW,LCSW,CADCIII | |
10702 W Burleigh St, Wauwatosa, WI 53222-3310 | |
(414) 777-0740 | |
(414) 777-0749 |
Full Name | Ms Linda Stoltzman |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10702 W Burleigh St, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730260050 | NPI | - | NPPES |
39660500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 340-123 (Wisconsin) | Primary |
Entity Name | Cleanslate Medical Group Of Wisconsin Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518404854 PECOS PAC ID: 4284905134 Enrollment ID: O20170810002045 |
Mailing Address | Practice Location Address |
---|---|
Ms Linda Stoltzman, ACSW,LCSW,CADCIII 10702 W Burleigh St, Wauwatosa, WI 53222-3310 Ph: (414) 777-0740 | Ms Linda Stoltzman, ACSW,LCSW,CADCIII 10702 W Burleigh St, Wauwatosa, WI 53222-3310 Ph: (414) 777-0740 |
Danielle S Carlson, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10702 W Burleigh St, Wauwatosa, WI 53222 Phone: 414-777-0740 Fax: 414-777-0749 | |
Mrs. Jill Marie Goldsworthy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10045 W Lisbon Ave, Suite 221, Wauwatosa, WI 53222 Phone: 414-358-7146 | |
Lisa Wentworth-rohr, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11121 W North Ave, Suite 220, Wauwatosa, WI 53226 Phone: 262-780-9788 Fax: 414-443-2719 | |
Christine S Schultz, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6707 | |
Mr. Peter J Isely, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10045 W Lisbon Ave, Wauwatosa, WI 53222 Phone: 414-429-7259 Fax: 414-393-1460 | |
Lisa Derosa Hill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10045 W Lisbon Ave, Wauwatosa, WI 53222 Phone: 414-358-7144 Fax: 414-358-7158 | |
Mr. Michael John Schuette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-773-4339 Fax: 414-454-6747 |