Ms Kenna Ruth Pomeroy, CAPSW, CADC-D | |
210 W Capitol Dr, Milwaukee, WI 53212-1123 | |
(414) 727-6320 | |
(414) 727-6321 |
Full Name | Ms Kenna Ruth Pomeroy |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 210 W Capitol Dr, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346469384 | NPI | - | NPPES |
39176500 | Medicaid | WI | |
14804-13L | Other | WI | CADC-D |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 14804-13L (Wisconsin) | Primary |
Entity Name | Thrive Therapy Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922557800 PECOS PAC ID: 2062749815 Enrollment ID: O20190816000698 |
Mailing Address | Practice Location Address |
---|---|
Ms Kenna Ruth Pomeroy, CAPSW, CADC-D 3166a S 16th St, Milwaukee, WI 53215-4525 Ph: (414) 727-6320 | Ms Kenna Ruth Pomeroy, CAPSW, CADC-D 210 W Capitol Dr, Milwaukee, WI 53212-1123 Ph: (414) 727-6320 |
Mrs. Kimberly A Mccormick, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 833 N 26th St, Milwaukee, WI 53233 Phone: 414-344-7676 | |
Crystal Z Mclean, Counselor Medicare: Medicare Enrolled Practice Location: 820 N Plankinton Ave, Milwaukee, WI 53203 Phone: 414-225-1606 Fax: 414-223-6800 | |
Tonyetta L Ross, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 5330 W Villard Ave, Milwaukee, WI 53218 Phone: 414-488-6291 Fax: 414-488-6293 | |
Jennifer A Patterson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5007 S Howell Ave, Milwaukee, WI 53207 Phone: 414-293-0077 | |
Mrs. Shantrease Benson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2677 N 40th St, Milwaukee, WI 53210 Phone: 414-447-1965 Fax: 414-874-2820 | |
Miss Lauren Joy Allar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1849 N Dr Martin Luther King Jr Dr Ste 101, Milwaukee, WI 53212 Phone: 414-347-1774 | |
Emily Meyer, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 N Weil St, Milwaukee, WI 53212 Phone: 414-977-5828 |