Mrs Amy Sue Mckenzie, MSW LCSW SAC is a
Social Worker - Clinical based in Cleveland, Wisconsin. Mrs Amy Sue Mckenzie is licensed to practice in Wisconsin (license number 1239-123) and her current practice location is
1205 North Ave, Cleveland, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 693-5600.
NPI number for Mrs Amy Sue Mckenzie is 1013010024 and her current mailing address is 1205 North Ave, Cleveland, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013010024.
Healthcare Provider's Profile
| Full Name | Mrs Amy Sue Mckenzie |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 1205 North Ave, Cleveland, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013010024
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 02/28/2008
Medical Identifiers
Medical identifiers for Mrs Amy Sue Mckenzie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013010024 | NPI | - | NPPES |
| 42194800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13279 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1239-123 (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. Mrs Amy Sue Mckenzie 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 |
|---|
Mrs Amy Sue Mckenzie, MSW LCSW SAC
1205 North Ave,
Cleveland, WI 53015-1413
Ph: (920) 693-5600 | Mrs Amy Sue Mckenzie, MSW LCSW SAC
1205 North Ave,
Cleveland, WI 53015-1413
Ph: (920) 693-5600 |
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