| Amy E Booher, APSW | |
|
8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 | |
| (715) 478-4339 | |
| Not Available |
| Full Name | Amy E Booher |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 8201 Mish Ko Swen Dr, Crandon, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699436733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 126864-121 (Wisconsin) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Forest County Potawatomi Community |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285741306 PECOS PAC ID: 3375454689 Enrollment ID: O20040228000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy E Booher, APSW 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 Ph: () - | Amy E Booher, APSW 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 Ph: (715) 478-4339 |
Brandy N Jastrow, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Po Box 396, Crandon, WI 54520 Phone: 715-478-4339 Fax: 715-478-4494 | |
Mrs. Gloria Jean Johnston, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 Phone: 715-478-4300 Fax: 715-478-4490 | |
Abigail B Ashbeck, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180 | |
Tracy Lynne Ferraro-schumacher, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 W Glen St, Crandon, WI 54520 Phone: 715-478-6300 |