| Amy Beth Weast, MSW, LCSW | |
|
W247s10395 Center Dr, Mukwonago, WI 53149-9166 | |
| (262) 971-9100 | |
| (262) 662-5688 |
| Full Name | Amy Beth Weast |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | W247s10395 Center Dr, Mukwonago, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912292145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1931-123 (Wisconsin) | Primary |
| Entity Name | County Of Waukesha Department Of Finance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740403146 PECOS PAC ID: 3971405481 Enrollment ID: O20040124000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Beth Weast, MSW, LCSW W344s10517 County Rd E, Mukwonago, WI 53149-9552 Ph: (262) 745-7297 | Amy Beth Weast, MSW, LCSW W247s10395 Center Dr, Mukwonago, WI 53149-9166 Ph: (262) 971-9100 |
Mr. Fred Henry Malesevich, LCSW, ACSW, DAPA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: S110w30520 Ymca Camp Rd, Mukwonago, WI 53149 Phone: 262-777-1833 | |
Mrs. Sandra Lynn Muetzel, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: W247s10395 Center Dr, Mukwonago, WI 53149 Phone: 262-662-5900 Fax: 262-662-5688 | |
Jeff Stephani, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: W247s10395 Center Dr, Mukwonago, WI 53149 Phone: 262-662-5900 Fax: 262-662-5688 | |
Mrs. Jessica Lynn Elliott, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: W247s10395 Center Dr, Mukwonago, WI 53149 Phone: 262-662-5900 Fax: 262-662-5688 |