Moonkress Therapy And Consulting Llc | |
5910 Cable Ave Madison WI 53705-4410 | |
(563) 513-8038 | |
Not Available |
Full Name | Moonkress Therapy And Consulting Llc |
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Speciality | Social Worker |
Location | 5910 Cable Ave, Madison, Wisconsin |
Authorized Official Name and Position | Mary Lawinger (OWNER) |
Authorized Official Contact | 5635138038 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Moonkress Therapy And Consulting Llc 5910 Cable Ave Madison WI 53705-4410 Ph: () - | Moonkress Therapy And Consulting Llc 5910 Cable Ave Madison WI 53705-4410 Ph: (563) 513-8038 |
NPI Number | 1558015198 |
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Provider Enumeration Date | 02/11/2022 |
Last Update Date | 02/11/2022 |
Certification Date | 02/07/2022 |
Medicare PECOS PAC ID | 6800282138 |
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Medicare Enrollment ID | O20220413000685 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558015198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Mary Lawinger |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467065110 PECOS PAC ID: 7618363946 Enrollment ID: I20220413000807 |
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