Brandy N Jastrow, LCSW | |
Po Box 396, Crandon, WI 54520-0396 | |
(715) 478-4339 | |
(715) 478-4494 |
Full Name | Brandy N Jastrow |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | Po Box 396, 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 |
---|---|---|---|
1124521414 | NPI | - | NPPES |
130878-121 | Other | WI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801108974 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 9535-123 (Wisconsin) | Primary |
Entity Name | Forest County Potawatomi Community |
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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 |
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Brandy N Jastrow, LCSW 1635 Maple Ln, Ashland, WI 54806-3610 Ph: (715) 685-5400 | Brandy N Jastrow, LCSW Po Box 396, Crandon, WI 54520-0396 Ph: (715) 478-4339 |
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 | |
Amy E Booher, APSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8201 Mish Ko Swen Dr, Crandon, WI 54520 Phone: 715-478-4339 | |
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 |