| Bridget Marie Mcconnell, LCSW, LICSW | |
|
N5456 590th St, Ellsworth, WI 54011-5101 | |
| (651) 319-3818 | |
| Not Available |
| Full Name | Bridget Marie Mcconnell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | N5456 590th St, Ellsworth, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780805218 | NPI | - | NPPES |
| 521408000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 16559 (Minnesota) | Primary |
| Entity Name | Lakeview Memorial Hospital Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821114729 PECOS PAC ID: 1951210855 Enrollment ID: O20031104000543 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230310000874 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget Marie Mcconnell, LCSW, LICSW N5456 590th St, Ellsworth, WI 54011-5101 Ph: (651) 319-3818 | Bridget Marie Mcconnell, LCSW, LICSW N5456 590th St, Ellsworth, WI 54011-5101 Ph: (651) 319-3818 |
Marguerite M Anderson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne St, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 |