| County Owned Operated Facility | |
|
926 South 8th Street Manitowoc WI 54221-1177 | |
| (920) 683-4230 | |
| (920) 683-4908 |
| Full Name | County Owned Operated Facility |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 926 South 8th Street, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Patricia Dodge (CO DIRECTOR) |
| Authorized Official Contact | 9206834230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Owned Operated Facility Po Box 1177 926 South 8th Street Manitowoc WI 54221-1177 Ph: (920) 683-4230 | County Owned Operated Facility 926 South 8th Street Manitowoc WI 54221-1177 Ph: (920) 683-4230 |
| NPI Number | 1477727345 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 09/22/2014 |
| Medicare PECOS PAC ID | 6800707480 |
|---|---|
| Medicare Enrollment ID | O20050131000999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477727345 | NPI | - | NPPES |
| 43106400 | Medicaid | WI | |
| 41763300 | Medicaid | WI | |
| 43079700 | Medicaid | WI | |
| 32977571 | Medicaid | WI | |
| 42139400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1555 (Wisconsin) | Primary |
| Provider Name | Basil P Spyropoulos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649209594 PECOS PAC ID: 0648259739 Enrollment ID: I20050103000012 |
| Provider Name | Thomas J Zakrzewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194874511 PECOS PAC ID: 3779653852 Enrollment ID: I20080602000124 |
| Provider Name | Caroline Poirier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750564266 PECOS PAC ID: 3678656154 Enrollment ID: I20111202000264 |
| Provider Name | Lisa L Kowalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932373891 PECOS PAC ID: 3072772615 Enrollment ID: I20120316000619 |
| Provider Name | Lori M Fure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639340078 PECOS PAC ID: 6002070679 Enrollment ID: I20120611000499 |
| Provider Name | Kirsten Robley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861052003 PECOS PAC ID: 4183082159 Enrollment ID: I20230626000514 |
C Schroeder Psych Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Maritime Dr, Manitowoc, WI 54220 Phone: 920-769-0152 Fax: 920-769-0153 | |
Coachingpositivity, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 Memorial Dr, Manitowoc, WI 54220 Phone: 920-682-9119 | |
Diana Lampsa Mdsc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 Memorial Dr, Manitowoc, WI 54220 Phone: 920-683-9500 | |
Manitowoc Co Human Services Dept. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 Fax: 920-683-4908 | |
Wisconsin Lutheran Child & Family Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4045 Lancer Cir, Manitowoc, WI 54220 Phone: 800-438-1772 Fax: 262-293-9737 | |
Blue Waters Family Counseling, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2215 Washington St, Manitowoc, WI 54220 Phone: 920-683-3911 Fax: 920-683-3411 | |
Susan M Schutz Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 927a South 8th Street, Suite 300, Manitowoc, WI 54220 Phone: 920-684-6644 Fax: 920-684-1110 |