Stephanie Gudmunsen, LCSW | |
333 E Washington St, Suite 2000, West Bend, WI 53095-2585 | |
(262) 335-4545 | |
(262) 335-6827 |
Full Name | Stephanie Gudmunsen |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 333 E Washington St, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407941446 | NPI | - | NPPES |
40994900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7293-123 (Wisconsin) | Primary |
Entity Name | County Of Wood |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063638088 PECOS PAC ID: 3476554692 Enrollment ID: O20080522000193 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Gudmunsen, LCSW 333 E Washington St, Suite 2000, West Bend, WI 53095-2585 Ph: (262) 335-4545 | Stephanie Gudmunsen, LCSW 333 E Washington St, Suite 2000, West Bend, WI 53095-2585 Ph: (262) 335-4545 |
Tiffany Dubey, LCSW, SAC-IT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 | |
Mr. Mical Gustave Schaffer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-338-2717 | |
Abby Louise Janssen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767 | |
Diana Azimov, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-306-9800 | |
Ryanne Beth Wendt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 | |
Mrs. Amy R. Schumann, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1622 Chestnut St, West Bend, WI 53095 Phone: 262-338-9498 |