Shannon Bernice Westphal, MSW, LCSW is a
Social Worker - Clinical based in Hustisford, Wisconsin. Shannon Bernice Westphal is licensed to practice in Wisconsin (license number 10144-123) and her current practice location is
139 North Lake Street, Hustisford, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 226-0391.
NPI number for Shannon Bernice Westphal is 1245819200 and her current mailing address is Po Box 131, Hustisford, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245819200.
Healthcare Provider's Profile
| Full Name | Shannon Bernice Westphal |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 139 North Lake Street, Hustisford, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245819200
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 11/16/2023
Medical Identifiers
Medical identifiers for Shannon Bernice Westphal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245819200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 10144-123 (Wisconsin) | Primary |
| 104100000X | Social Worker | 131945 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Bernice Westphal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shannon Bernice Westphal, MSW, LCSW
Po Box 131,
Hustisford, WI 53034-0131
Ph: (262) 224-7721 | Shannon Bernice Westphal, MSW, LCSW
139 North Lake Street,
Hustisford, WI 53034-9507
Ph: (262) 226-0391 |
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