Terri L Wilkens, LCSW | |
378 E 11th St, Fond Du Lac, WI 54935-5253 | |
(920) 948-7583 | |
Not Available |
Full Name | Terri L Wilkens |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 378 E 11th St, Fond Du Lac, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659146785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2893-123 (Wisconsin) | Primary |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Mailing Address | Practice Location Address |
---|---|
Terri L Wilkens, LCSW 378 E 11th St, Fond Du Lac, WI 54935-5253 Ph: (920) 948-7583 | Terri L Wilkens, LCSW 378 E 11th St, Fond Du Lac, WI 54935-5253 Ph: (920) 948-7583 |
Mrs. Jennifer Michelle Deringer, MSSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 74 S Main St Ste 103, Fond Du Lac, WI 54935 Phone: 920-573-7378 | |
Johanna Manthey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 74 S Main St Ste 103, Fond Du Lac, WI 54935 Phone: 920-204-1572 | |
Laura Jean Detert, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 Warner St, Fond Du Lac, WI 54935 Phone: 920-924-0697 | |
Mrs. Donna Tina May Glissendorf, MSW, LCSW, CSAC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8933 | |
Tabitha Marie Leque, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N5682 County Road K, Fond Du Lac, WI 54937 Phone: 877-300-9101 | |
Mr. Jonathan Paul Stone Sr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 River Hills Dr Apt 5201, Fond Du Lac, WI 54937 Phone: 920-960-1213 | |
Rosonna Sue Comers, LCSW CADCIII Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 Phone: 920-929-9140 Fax: 920-929-9142 |