Jennifer J Ebbott, LCSW | |
831 E Washington Ave, Madison, WI 53703-2935 | |
(608) 255-7356 | |
Not Available |
Full Name | Jennifer J Ebbott |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 831 E Washington Ave, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013182419 | NPI | - | NPPES |
40962600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7109-123 (Wisconsin) | Primary |
Entity Name | Open Door Center For Change, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215068069 PECOS PAC ID: 2860598711 Enrollment ID: O20070509000503 |
Mailing Address | Practice Location Address |
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Jennifer J Ebbott, LCSW 831 E Washington Ave, Madison, WI 53703-2935 Ph: () - | Jennifer J Ebbott, LCSW 831 E Washington Ave, Madison, WI 53703-2935 Ph: (608) 255-7356 |
Ms. Leah Allison Finch, CAPSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ter, Madison, WI 53705 Phone: 608-256-1901 | |
Victoria Rose Dietz, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 S Butler St Ste 106, Madison, WI 53703 Phone: 608-218-1440 | |
Mr. Thomas A Oconnor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5534 Medical Circle, Madison, WI 53719 Phone: 608-274-0355 Fax: 608-274-5546 | |
Ms. Fran L Degraff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2727 Marshall Ct, Madison, WI 53705 Phone: 608-238-9354 Fax: 608-238-7675 | |
Thorsten W. Horton, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Ray O Vac Dr, Suite 220, Madison, WI 53711 Phone: 608-276-9191 Fax: 608-276-9144 | |
Erin Thomson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Highland Ave, Room 102, Madison, WI 53705 Phone: 608-263-5815 |