Renee Beth Thompson, | |
6100 W Hampton Ave, Milwaukee, WI 53218-4949 | |
(800) 438-1772 | |
(262) 293-9737 |
Full Name | Renee Beth Thompson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6100 W Hampton 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 |
---|---|---|---|
1619423738 | NPI | - | NPPES |
100059870 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 127285-121 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 9492-123 (Wisconsin) | Primary |
Entity Name | Wisconsin Lutheran Child And Family Service Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083786628 PECOS PAC ID: 0749233898 Enrollment ID: O20050301000318 |
Mailing Address | Practice Location Address |
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Renee Beth Thompson, W175n11120 Stonewood Dr, Germantown, WI 53022-6511 Ph: (800) 438-1772 | Renee Beth Thompson, 6100 W Hampton Ave, Milwaukee, WI 53218-4949 Ph: (800) 438-1772 |
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 |