Vicki Lynn Smith, LCSW in Kenosha, WI - Medicare Social Worker Provider

Vicki Lynn Smith, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. Her current practice location is 3536 52nd St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 842-0538.

Vicki Lynn Smith is licensed to practice in Wisconsin (license number 7788-123) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265870323.

Contact Information

	Vicki Lynn Smith, LCSW
	3536 52nd St, Kenosha, WI 53144-2662
	(262) 842-0538
	(262) 842-0539

Map and Direction

Healthcare Provider's Profile

Full Name	Vicki Lynn Smith
Gender	Female
Speciality	Social Worker - Clinical
Location	3536 52nd St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265870323
Provider Enumeration Date: 06/11/2013
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 4082905179
Enrollment ID: I20160621000852

Medical Identifiers

Medical identifiers for Vicki Lynn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265870323	NPI	-	NPPES
100030733	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7788-123 (Wisconsin)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	16457132 (Wisconsin)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Vicki Lynn Smith allows following entities to bill medicare on her behalf.

Entity Name	Kenosha Human Development Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942470661 PECOS PAC ID: 0143467720 Enrollment ID: O20130520000465

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. Vicki Lynn Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Vicki Lynn Smith, LCSW 3536 52nd St, Kenosha, WI 53144-2662 Ph: (262) 842-0538	Vicki Lynn Smith, LCSW 3536 52nd St, Kenosha, WI 53144-2662 Ph: (262) 842-0538

Reviews and Comments

Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718
Shonda Lynn Gagliano, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7723 32nd Ave, Kenosha, WI 53142 Phone: 262-573-4549
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531
Mr. Christopher Michael David, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Vicki Lynn Smith, LCSW - Medicare Clinical Social Worker in Kenosha, WI