Linda M Daniels, LCSW | |
533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 | |
(715) 588-1511 | |
(715) 588-3903 |
Full Name | Linda M Daniels |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 533 Peace Pipe Rd, Lac Du Flambeau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689712770 | NPI | - | NPPES |
39233800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1766-123 (Wisconsin) | Primary |
Entity Name | Lac Du Flambeau Band Of Lake Superior Chippewa Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134235047 PECOS PAC ID: 5496707242 Enrollment ID: O20050221000179 |
Mailing Address | Practice Location Address |
---|---|
Linda M Daniels, LCSW Po Box 189, Lac Du Flambeau, WI 54538-0189 Ph: (715) 588-1511 | Linda M Daniels, LCSW 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Ph: (715) 588-1511 |
Ms. Regina Rae Fox, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Anna Lynn Johnson, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Ms. Debra L Neddo, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Mrs. Tieheena M Lemerond, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Isabella Fallos, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 | |
Wendy Lindstrom, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Mrs. Karrie Joann Branfort, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3378 Schilleman Road, Lac Du Flambeau, WI 54538 Phone: 715-588-3303 |