| Christy Vachavake, | |
|
2761 Allied St Fl 1, Green Bay, WI 54304-5501 | |
| (920) 215-0243 | |
| Not Available |
| Full Name | Christy Vachavake |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2761 Allied St Fl 1, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508689589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11912-123 (Wisconsin) | Primary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240729000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Christy Vachavake, 2761 Allied St Fl 1, Green Bay, WI 54304-5501 Ph: () - | Christy Vachavake, 2761 Allied St Fl 1, Green Bay, WI 54304-5501 Ph: (920) 215-0243 |
Holly Sage, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2851 University Ave, Green Bay, WI 54311 Phone: 920-431-2500 | |
Jayne E Von Der Linden, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Crooks St, Green Bay, WI 54301 Phone: 920-436-6800 Fax: 920-432-5966 | |
Kavita Carlson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2680 Vernon Dr, Green Bay, WI 54304 Phone: 920-496-4700 | |
Joseph David Hoelscher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 888-974-5769 | |
Marina Oliver, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1061 W Mason St, Green Bay, WI 54303 Phone: 920-437-8256 | |
Rebecca Marie Barrett, MSW APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Crooks St, Green Bay, WI 54301 Phone: 920-436-6800 Fax: 920-437-3540 | |
Shannon M Anderson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 888-974-5769 |