| Regina Goodman, L.c.s.w., Llc | |
|
777 N Jefferson St Ste 402 Milwaukee WI 53202-3713 | |
| (414) 502-9245 | |
| Not Available |
| Full Name | Regina Goodman, L.c.s.w., Llc |
|---|---|
| Speciality | Social Worker |
| Location | 777 N Jefferson St Ste 402, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Regina Goodman (SOLE MEMBER) |
| Authorized Official Contact | 4148283634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Goodman, L.c.s.w., Llc 777 N Jefferson St Ste 402 Milwaukee WI 53202-3713 Ph: (414) 502-9245 | Regina Goodman, L.c.s.w., Llc 777 N Jefferson St Ste 402 Milwaukee WI 53202-3713 Ph: (414) 502-9245 |
| NPI Number | 1962027797 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Medicare PECOS PAC ID | 6507270881 |
|---|---|
| Medicare Enrollment ID | O20210127002942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962027797 | NPI | - | NPPES |
| 42184700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Regina V Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184865347 PECOS PAC ID: 5395985501 Enrollment ID: I20130711000832 |
Affirmative Reaction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 W Center St Ste 201, Milwaukee, WI 53210 Phone: 414-324-5318 | |
Stepping Stone Behavorial Health Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7441 W Greenfield Ave, Suite 15, Milwaukee, WI 53214 Phone: 262-951-6969 | |
River's Shore Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3707 N Richards St, Milwaukee, WI 53212 Phone: 414-967-7006 Fax: 414-967-7020 | |
Sj Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7726 N 80th St, Milwaukee, WI 53223 Phone: 414-841-5648 | |
Westcare Wisconsin, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 W Wright St, Milwaukee, WI 53212 Phone: 414-323-0185 | |
New Frontiers Psychiatric Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226 Phone: 414-763-6910 Fax: 414-763-6911 | |
Findley Medical Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6114 W Capitol Dr Ste 101, Milwaukee, WI 53216 Phone: 414-988-3079 Fax: 414-982-1211 |