Alice Faye Portis-patterson, MSW | |
6939 Mariner Dr, Suite C, Racine, WI 53406-3938 | |
(262) 886-8702 | |
(262) 886-8713 |
Full Name | Alice Faye Portis-patterson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 37 Years |
Location | 6939 Mariner Dr, Racine, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568515922 | NPI | - | NPPES |
222157 | Other | WI | VALUE OPTION |
39228200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 947-125 (Wisconsin) | Primary |
Entity Name | Portis Marriage And Children Counseling Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609046788 PECOS PAC ID: 8527139211 Enrollment ID: O20080624000686 |
Mailing Address | Practice Location Address |
---|---|
Alice Faye Portis-patterson, MSW 3416 Daisy Ln, Racine, WI 53405-4606 Ph: (262) 554-8743 | Alice Faye Portis-patterson, MSW 6939 Mariner Dr, Suite C, Racine, WI 53406-3938 Ph: (262) 886-8702 |
Kathleen Rasmussen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2222 | |
Sammy Joe Rangel, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Ave, 101, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547 | |
Merritt Adams, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-632-1780 Fax: 262-632-0895 | |
Dr. Kelly Jean Smith, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-638-6771 | |
Donna R. Swanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Sixth St, Racine, WI 53403 Phone: 262-898-2940 Fax: 262-898-1772 | |
Ms. Laura Ramos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wisconsin Ave, Racine, WI 53403 Phone: 262-637-8888 Fax: 262-637-0695 | |
Mrs. Maryellen L. Schemel, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 Northwestern Ave, Suite Ll5, Racine, WI 53404 Phone: 262-260-8370 |