| Nina Powell, LCSW | |
|
N5367 Mayflower Rd, Shiocton, WI 54170-8934 | |
| (920) 986-3003 | |
| (920) 986-3004 |
| Full Name | Nina Powell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | N5367 Mayflower Rd, Shiocton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134663164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8334123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Powell, LCSW N5367 Mayflower Rd, Shiocton, WI 54170-8934 Ph: (920) 986-3003 | Nina Powell, LCSW N5367 Mayflower Rd, Shiocton, WI 54170-8934 Ph: (920) 986-3003 |
Mrs. Tracy L Wilke Kohlman, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 920-738-7795 Fax: 920-986-3004 | |
Mrs. Lynn Elizabeth Martin Mulvey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N5367 Mayflower Rd, Shiocton, WI 54170 Phone: 920-986-3003 Fax: 920-986-3004 |