Dale M Kolstad, LCSW is a
Social Worker based in Mauston, Wisconsin. Dale M Kolstad is licensed to practice in Wisconsin (license number 4042123) and his current practice location is
200 E La Crosse St, Juneau County Human Services, Mauston, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 847-2400.
NPI number for Dale M Kolstad is 1427016955 and his current mailing address is 200 E La Crosse St, Juneau County Human Services, Mauston, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427016955.
Healthcare Provider's Profile
| Full Name | Dale M Kolstad |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 200 E La Crosse St, Mauston, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427016955
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dale M Kolstad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427016955 | NPI | - | NPPES |
| 39218500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 1016125 (Wisconsin) | Primary |
| 104100000X | Social Worker | 4042123 (Wisconsin) | Primary |
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. Dale M Kolstad 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 |
|---|
Dale M Kolstad, LCSW
200 E La Crosse St, Juneau County Human Services,
Mauston, WI 53948-2101
Ph: (608) 847-2400 | Dale M Kolstad, LCSW
200 E La Crosse St, Juneau County Human Services,
Mauston, WI 53948-2101
Ph: (608) 847-2400 |
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