| Waupaca County Dept Of Human Services | |
|
811 Harding St Waupaca WI 54981-2012 | |
| (715) 258-6300 | |
| (715) 258-6409 |
| Full Name | Waupaca County Dept Of Human Services |
|---|---|
| Speciality | Counselor |
| Location | 811 Harding St, Waupaca, Wisconsin |
| Authorized Official Name and Position | Mary Solheim (DIRECTOR) |
| Authorized Official Contact | 7152586300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waupaca County Dept Of Human Services 811 Harding St Waupaca WI 54981-2012 Ph: (715) 258-6300 | Waupaca County Dept Of Human Services 811 Harding St Waupaca WI 54981-2012 Ph: (715) 258-6300 |
| NPI Number | 1588631691 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Medicare PECOS PAC ID | 1254348386 |
|---|---|
| Medicare Enrollment ID | O20060315000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588631691 | NPI | - | NPPES |
| 32977300 | Medicaid | WI | |
| 42011200 | Medicaid | WI | |
| 43110300 | Medicaid | WI | |
| 44003900 | Medicaid | WI | |
| 43077100 | Medicaid | WI | |
| 43428000 | Medicaid | WI | |
| 41851000 | Medicaid | WI | |
| 42132900 | Medicaid | WI |
| Provider Name | Wilbur A Sarino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780740514 PECOS PAC ID: 5698666576 Enrollment ID: I20040322000589 |
| Provider Name | Felipe P Ambas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619039419 PECOS PAC ID: 2163456641 Enrollment ID: I20050923000497 |
| Provider Name | Randy M Kerswill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649336462 PECOS PAC ID: 3779648449 Enrollment ID: I20090212000113 |
| Provider Name | Kimberly M Kraeger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750743365 PECOS PAC ID: 4284922121 Enrollment ID: I20161010001952 |
| Provider Name | Alison W Fries |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477292712 PECOS PAC ID: 1658725338 Enrollment ID: I20230928003155 |
| Provider Name | Honna L Benson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609293927 PECOS PAC ID: 0840648655 Enrollment ID: I20240126002384 |
| Provider Name | Nicole R Lauritzen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649903386 PECOS PAC ID: 0648629808 Enrollment ID: I20240201001753 |
| Provider Name | Sarah L Binder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487828067 PECOS PAC ID: 2163871922 Enrollment ID: I20240301001458 |
| Provider Name | Angelina M Bartel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962078956 PECOS PAC ID: 0446697676 Enrollment ID: I20240325001061 |
| Provider Name | Colby R Mccormick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952014821 PECOS PAC ID: 2163871914 Enrollment ID: I20240424004017 |
Waupaca County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Waupaca County Dhs, 811 Harding St, Waupaca, WI 54981 Phone: 715-258-6300 Fax: 715-258-6409 | |
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