Mr Kurt L Mahnke, LCSW is a
Social Worker - Clinical based in Menasha, Wisconsin. Mr Kurt L Mahnke is licensed to practice in Wisconsin (license number 892-123) and his current practice location is
1477 Kenwood Ctr, Menasha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 729-6780.
NPI number for Mr Kurt L Mahnke is 1336206671 and his current mailing address is 2800 E Enterprise Ave, Appleton, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336206671.
Healthcare Provider's Profile
| Full Name | Mr Kurt L Mahnke |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 1477 Kenwood Ctr, Menasha, 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: 1336206671
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 01/25/2010
Medical Identifiers
Medical identifiers for Mr Kurt L Mahnke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336206671 | NPI | - | NPPES |
| 43701400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 252-125 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 892-123 (Wisconsin) | Primary |
| 106H00000X | Marriage & Family Therapist | 122-124 (Wisconsin) | Secondary |
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. Mr Kurt L Mahnke 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 |
|---|
Mr Kurt L Mahnke, LCSW
2800 E Enterprise Ave,
Appleton, WI 54913-7889
Ph: (920) 729-6780 | Mr Kurt L Mahnke, LCSW
1477 Kenwood Ctr,
Menasha, WI 54952-1160
Ph: (920) 729-6780 |
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