Mrs Christine T O'donnell, LCSW is a
Social Worker - Clinical based in Milwaukee, Wisconsin. Mrs Christine T O'donnell is licensed to practice in Wisconsin (license number 160123) and her current practice location is
5626 N 91st St Ste 301, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 461-1088.
NPI number for Mrs Christine T O'donnell is 1073736617 and her current mailing address is 2636 N 97th St, Wauwatosa, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073736617.
Healthcare Provider's Profile
| Full Name | Mrs Christine T O'donnell |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5626 N 91st St Ste 301, Milwaukee, 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: 1073736617
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 08/31/2015
Medical Identifiers
Medical identifiers for Mrs Christine T O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073736617 | NPI | - | NPPES |
| 40983900 | Medicaid | WI | |
| 160123 | Other | WI | LICENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 160123 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 160123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 160123 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 160123 (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. Mrs Christine T O'donnell 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 Christine T O'donnell, LCSW
2636 N 97th St,
Wauwatosa, WI 53226-1650
Ph: () - | Mrs Christine T O'donnell, LCSW
5626 N 91st St Ste 301,
Milwaukee, WI 53225-2745
Ph: (414) 461-1088 |
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