Susan M Matzke, MS is a
Social Worker - Clinical based in Janesville, Wisconsin. Susan M Matzke is licensed to practice in Wisconsin (license number 3327-123) and her current practice location is
1 S Main St, Janesville, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 757-0404.
NPI number for Susan M Matzke is 1689640401 and her current mailing address is 4425 N Forest Hills Blvd, Janesville, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689640401.
Healthcare Provider's Profile
| Full Name | Susan M Matzke |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1 S Main St, Janesville, 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: 1689640401
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Susan M Matzke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689640401 | NPI | - | NPPES |
| 39196700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 463-125 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 3327-123 (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. Susan M Matzke 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 |
|---|
Susan M Matzke, MS
4425 N Forest Hills Blvd,
Janesville, WI 53545-8938
Ph: (608) 752-4732 | Susan M Matzke, MS
1 S Main St,
Janesville, WI 53545-3922
Ph: (608) 757-0404 |
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