| Amanda R Harris, LCSW | |
|
320 S. Walnut St., Appleton, WI 54911-5918 | |
| (920) 832-5270 | |
| (920) 832-2185 |
| Full Name | Amanda R Harris |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 320 S. Walnut St., Appleton, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184145161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9352-123 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Psychiatric Center Inc | 4486551058 | 78 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Bellin Psychiatric Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda R Harris, LCSW Po Box 22040, Green Bay, WI 54305-2040 Ph: (920) 445-7222 | Amanda R Harris, LCSW 320 S. Walnut St., Appleton, WI 54911-5918 Ph: (920) 832-5270 |
Marissa A Mielke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Tri Park Way Bldg 2, Appleton, WI 54914 Phone: 920-809-4125 | |
Ms. Suzan L. Myhre, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3301 N Ballard Rd Ste C, Appleton, WI 54911 Phone: 920-202-3954 Fax: 920-202-3964 | |
Ms. Michelle Kennedy Coenen, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Ste 550, Appleton, WI 54915 Phone: 920-738-2700 Fax: 920-738-8051 | |
Mrs. Katherine Anne Chaganos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 S Walnut St, Appleton, WI 54911 Phone: 920-832-5270 Fax: 920-832-4767 | |
Ms. Pakou Thao, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 N Mccarthy Rd Ste P, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164 | |
Megan Laurene Rios, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 N Lynndale Dr Ste 2d, Appleton, WI 54914 Phone: 920-385-1420 | |
Chelsea Vosters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: W6144 Aerotech Dr, Appleton, WI 54914 Phone: 920-733-2065 |