Susan A Knower, LPC, IDPAT | |
2901 Hunters Trl, Portage, WI 53901-3403 | |
(608) 742-5518 | |
(608) 742-4087 |
Full Name | Susan A Knower |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2901 Hunters Trl, Portage, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134151889 | NPI | - | NPPES |
40962900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3464-124 (Wisconsin) | Primary |
Entity Name | Community Service Associates, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780610923 PECOS PAC ID: 8426948746 Enrollment ID: O20040318001251 |
Mailing Address | Practice Location Address |
---|---|
Susan A Knower, LPC, IDPAT Po Box 301, Portage, WI 53901-0301 Ph: (608) 742-5518 | Susan A Knower, LPC, IDPAT 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518 |
Mrs. Heather Jane Gove, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd # 1, Portage, WI 53901 Phone: 608-742-5020 | |
Shaun Alexander Hardie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd Ste 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-7011 | |
Melissa Trago, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1508 New Pinery Rd, Portage, WI 53901 Phone: 608-745-4900 | |
Robin A Deethardt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 | |
Sarah J Kravick, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 2639 New Pinery Rd, Suite 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-3641 | |
Kristine G Schmitt, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 |