| Kristine Scardina, LPC | |
|
309 E North St, Waukesha, WI 53188-3718 | |
| (262) 408-2530 | |
| Not Available |
| Full Name | Kristine Scardina |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 309 E North St, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629822820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 8727-125 (Wisconsin) | Primary |
| Entity Name | Sixteenth Street Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417912999 PECOS PAC ID: 6709876857 Enrollment ID: O20040512001352 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Scardina, LPC 143 Harrison Ave, Waukesha, WI 53186-6247 Ph: (262) 470-9580 | Kristine Scardina, LPC 309 E North St, Waukesha, WI 53188-3718 Ph: (262) 408-2530 |
Stephanie Pattengale, LPC Counselor Medicare: Medicare Enrolled Practice Location: 721 American Ave, Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 | |
Lisa Beth Moore, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 W Broadway Fl 2, Waukesha, WI 53186 Phone: 262-547-5567 | |
Brittany Witty, LPC Counselor Medicare: Medicare Enrolled Practice Location: 741 N Grand Ave Ste 302, Waukesha, WI 53186 Phone: 262-789-1191 | |
Daniel E Hermsen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: W231 N1440 Corporate Court, Suite 310, Waukesha, WI 53186 Phone: 282-896-6186 Fax: 262-896-6139 | |
Jayne Weyer-smith, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 707 W Moreland Blvd, Suite 5, Waukesha, WI 53188 Phone: 262-542-0123 Fax: 262-542-1199 | |
Amanda J Dowling, PCIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave Ste 501, Waukesha, WI 53188 Phone: 262-928-4036 Fax: 262-928-5096 | |
Jill M Bibler, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396 Fax: 262-544-1213 |