Emily Worth, | |
1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | |
(920) 210-9290 | |
Not Available |
Full Name | Emily Worth |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1426 Hiawatha Dr, Beaver Dam, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467051706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2508-125 (Wisconsin) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Community Service Associates, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780610923 PECOS PAC ID: 8426948746 Enrollment ID: O20040318001251 |
Mailing Address | Practice Location Address |
---|---|
Emily Worth, 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 Ph: (920) 210-9290 | Emily Worth, 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 Ph: (920) 210-9290 |
Mary Jo Pleuss, CSW, ICS, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N Center St, Beaver Dam, WI 53916 Phone: 920-887-1766 Fax: 920-887-2322 | |
William Vansusteren, MS, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 111 Warren St Ste 2, Beaver Dam, WI 53916 Phone: 920-219-4440 | |
Kayla Margaret Waldschmidt, MSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N Center St, Lower Level-suite A, Beaver Dam, WI 53916 Phone: 920-887-3172 | |
Mrs. Karla F Willis, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 N Lincoln Ave, Beaver Dam, WI 53916 Phone: 920-887-8751 Fax: 920-887-3977 | |
Mrs. Carla Jean Cartwright, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 N. Lincoln Avenue, Beaver Dam, WI 53916 Phone: 920-887-8751 Fax: 920-887-3977 | |
Kenneth Lamar Prust, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N Center St, Beaver Dam, WI 53916 Phone: 920-887-3171 Fax: 920-887-8662 | |
Julee A Fitz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1807 N Center St, Beaver Dam, WI 53916 Phone: 920-344-2023 |