Mary Catherine Desmond, LICSW, LPC, CSAC is a
Registered Nurse based in Watertown, Wisconsin. Mary Catherine Desmond is licensed to practice in Wisconsin (license number 37015-030) and her current practice location is
N8301 County Road A, Watertown, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 261-3309.
NPI number for Mary Catherine Desmond is 1740499383 and her current mailing address is N8301 County Road A, Watertown, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740499383.
Healthcare Provider's Profile
Full Name | Mary Catherine Desmond |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | N8301 County Road A, Watertown, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740499383
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mary Catherine Desmond such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740499383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2006-132 (Wisconsin) | Primary |
101YP2500X | Counselor - Professional | 1524-125 (Wisconsin) | Primary |
1041C0700X | Social Worker - Clinical | 3358-123 (Wisconsin) | Primary |
163W00000X | Registered Nurse | 37015-030 (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. Mary Catherine Desmond 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 |
Mary Catherine Desmond, LICSW, LPC, CSAC N8301 County Road A, Watertown, WI 53094-9151 Ph: (920) 261-3309 | Mary Catherine Desmond, LICSW, LPC, CSAC N8301 County Road A, Watertown, WI 53094-9151 Ph: (920) 261-3309 |
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