Renee M Keranen, MSW | |
121 W Main St, Port Washington, WI 53074-1813 | |
(262) 284-8133 | |
(262) 284-8104 |
Full Name | Renee M Keranen |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 121 W Main St, Port Washington, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023412699 | NPI | - | NPPES |
K400202255 | Other | MEDICARE PTAN | |
7713-123 | Other | WI | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7713-123 (Wisconsin) | Primary |
Entity Name | County Of Ozaukee |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609867001 PECOS PAC ID: 5698737450 Enrollment ID: O20041103000458 |
Mailing Address | Practice Location Address |
---|---|
Renee M Keranen, MSW 121 W Main St, Port Washington, WI 53074-1813 Ph: (262) 284-8133 | Renee M Keranen, MSW 121 W Main St, Port Washington, WI 53074-1813 Ph: (262) 284-8133 |
Roger Blanchard, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Pier St, Port Washington, WI 53074 Phone: 262-284-3117 Fax: 262-284-3087 | |
Sandra Jacques, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Suite 350, Port Washington, WI 53074 Phone: 262-284-8130 Fax: 262-284-8104 | |
Mrs. Deanna Schultz-depies, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 121 W Main St, #350, Port Washington, WI 53074 Phone: 262-284-8140 Fax: 262-284-8104 | |
Timothy J Shininger, LCSW LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907 | |
Sandra E Black, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907 | |
Lorene Menchaca, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Pier St, Port Washington, WI 53074 Phone: 262-284-3117 Fax: 262-284-3087 |