|
| |
|
2211 E Clairemont Ave Ste 2 Eau Claire WI 54701-4921 | |
| (715) 598-1865 | |
| (715) 598-1866 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 2211 E Clairemont Ave Ste 2, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Paul Nelson Roadt (OWNER) |
| Authorized Official Contact | 7155981865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2211 E Clairemont Ave Ste 2 Eau Claire WI 54701-4921 Ph: (715) 598-1865 | 2211 E Clairemont Ave Ste 2 Eau Claire WI 54701-4921 Ph: (715) 598-1865 |
| NPI Number | 1598304412 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 01/11/2020 |
| Certification Date | 01/11/2020 |
| Medicare PECOS PAC ID | 3173958675 |
|---|---|
| Medicare Enrollment ID | O20200109002869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598304412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Heidi Frank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861795932 PECOS PAC ID: 9830370675 Enrollment ID: I20110225000850 |
| Provider Name | Paul N Roadt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376998922 PECOS PAC ID: 9739478173 Enrollment ID: I20160525000741 |
| Provider Name | Amanda Neckar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417126475 PECOS PAC ID: 3870882228 Enrollment ID: I20160525001258 |
| Provider Name | Rachael Ann Palecek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922757335 PECOS PAC ID: 2668859125 Enrollment ID: I20220523001010 |
Elevens Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 Altoona Ave, Eau Claire, WI 54701 Phone: 715-210-9284 Fax: 715-972-4422 | |
Eau Claire County Department Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Oxford Ave, Eau Claire, WI 54703 Phone: 715-839-2300 Fax: 715-831-5784 | |
Winding Rivers Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4330 Golf Ter Ste 207, Eau Claire, WI 54701 Phone: 715-514-0493 Fax: 877-855-2504 | |
Eclipse Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2004 Highland Ave Ste O, Eau Claire, WI 54701 Phone: 715-255-1117 Fax: 320-640-9261 |