| Ozaukee County Human Services | |
|
121 W Main St Department Human Services Port Washington WI 53074-1813 | |
| (262) 284-8200 | |
| (262) 284-8104 |
| Full Name | Ozaukee County Human Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 121 W Main St, Port Washington, Wisconsin |
| Authorized Official Name and Position | Liza Drake (DIRECTOR) |
| Authorized Official Contact | 2622848200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozaukee County Human Services 121 W Main St Department Human Services Port Washington WI 53074-1813 Ph: (262) 284-8200 | Ozaukee County Human Services 121 W Main St Department Human Services Port Washington WI 53074-1813 Ph: (262) 284-8200 |
| NPI Number | 1609867001 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 5698737450 |
|---|---|
| Medicare Enrollment ID | O20041103000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609867001 | NPI | - | NPPES |
| 42138800 | Medicaid | WI |
| Provider Name | Laura L Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538182266 PECOS PAC ID: 5496763153 Enrollment ID: I20060322000668 |
| Provider Name | Nicole Prohuska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578967147 PECOS PAC ID: 4880911833 Enrollment ID: I20150331002650 |
| Provider Name | Samantha G Dagenhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659642841 PECOS PAC ID: 8527383900 Enrollment ID: I20150407000155 |
| Provider Name | Jason Traxel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821160219 PECOS PAC ID: 4880692797 Enrollment ID: I20150421002538 |
| Provider Name | Nicole K Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780032607 PECOS PAC ID: 4587906417 Enrollment ID: I20190425000537 |
| Provider Name | Maria C Filut |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396105227 PECOS PAC ID: 3375938640 Enrollment ID: I20220323001830 |
| Provider Name | Renee M Keranen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023412699 PECOS PAC ID: 4688991664 Enrollment ID: I20230609000463 |
| Provider Name | Suzanne K Ronquillo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306270756 PECOS PAC ID: 1355792805 Enrollment ID: I20240109001663 |
| Provider Name | Carly J Wallner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801525795 PECOS PAC ID: 3375919921 Enrollment ID: I20240110003038 |
Horizon Healthcare, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E. Pier Street, Port Washington, WI 53074 Phone: 262-284-3117 Fax: 262-284-3087 | |
Simplistic Nutrition Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Grand Ave Ste 210, Port Washington, WI 53074 Phone: 224-221-1339 | |
Ozaukee Co Dept Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8200 Fax: 262-284-8104 | |
Crisis Intervention Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8200 Fax: 262-284-8104 | |
Best Self Counseling Center Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 N Franklin St Ste 207, Port Washington, WI 53074 Phone: 920-602-1634 | |
Comprehensive Counseling Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 E Pier St Ste 2, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907 |