Ms Ann M Goedken, MS, LCSW,LPC is a
Social Worker - Clinical based in Cottage Grove, Wisconsin. Ms Ann M Goedken is licensed to practice in Wisconsin (license number 790-123) and her current practice location is
747b Crawford Dr, Cottage Grove, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 839-1979.
NPI number for Ms Ann M Goedken is 1003081084 and her current mailing address is 747b Crawford Dr, Cottage Grove, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003081084.
Healthcare Provider's Profile
Full Name | Ms Ann M Goedken |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 747b Crawford Dr, Cottage Grove, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003081084
- Provider Enumeration Date: 04/29/2008
- Last Update Date: 04/29/2008
Medical Identifiers
Medical identifiers for Ms Ann M Goedken such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003081084 | NPI | - | NPPES |
39669100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 201-125 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 790-123 (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. Ms Ann M Goedken 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 |
Ms Ann M Goedken, MS, LCSW,LPC 747b Crawford Dr, Cottage Grove, WI 53527-9671 Ph: (608) 839-1979 | Ms Ann M Goedken, MS, LCSW,LPC 747b Crawford Dr, Cottage Grove, WI 53527-9671 Ph: (608) 839-1979 |
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