Peter T Laubach, LCSW, CADC | |
1002 Lincoln Ave, Baraboo, WI 53913-1808 | |
(608) 356-9055 | |
(608) 356-5447 |
Full Name | Peter T Laubach |
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Gender | Male |
Speciality | Social Worker |
Location | 1002 Lincoln Ave, Baraboo, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316953540 | NPI | - | NPPES |
39227400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 885-123 (Wisconsin) | Secondary |
104100000X | Social Worker | 885-123 (Wisconsin) | Primary |
Entity Name | Samaritan Counseling Center Of Southern Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962544353 PECOS PAC ID: 3870558281 Enrollment ID: O20041124000763 |
Mailing Address | Practice Location Address |
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Peter T Laubach, LCSW, CADC 1002 Lincoln Ave, Baraboo, WI 53913-1808 Ph: (608) 356-9055 | Peter T Laubach, LCSW, CADC 1002 Lincoln Ave, Baraboo, WI 53913-1808 Ph: (608) 356-9055 |
Jane Rufe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 Broadway St, Baraboo, WI 53913 Phone: 608-355-4200 | |
Mrs. Christine Preston, MWWS, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: S2845 White Eagle Rd, Baraboo, WI 53913 Phone: 608-355-1240 | |
Alissa Hannah, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 417 12th St, Baraboo, WI 53913 Phone: 218-398-2960 | |
Lea Mcintosh, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 449 Hitchcock St, Baraboo, WI 53913 Phone: 608-355-4103 | |
Samuel Overlien, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 8th St Ste 3, Baraboo, WI 53913 Phone: 608-434-5145 | |
Mrs. Jessica Lynn Baldauf, MSW, LCSW, CS-IT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 505 Broadway St, Baraboo, WI 53913 Phone: 608-355-4200 Fax: 608-355-4299 |