| Donald A Walters, LCSW | |
|
1244 Wisconsin Ave, Suite 303, Racine, WI 53403-1987 | |
| (262) 635-5520 | |
| (262) 635-5530 |
| Full Name | Donald A Walters |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1244 Wisconsin Ave, Racine, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417944216 | NPI | - | NPPES |
| 39548600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 423-123 (Wisconsin) | Primary |
| Entity Name | Interconnections, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336214543 PECOS PAC ID: 1052472586 Enrollment ID: O20090323000008 |
| Entity Name | Moore & Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649443136 PECOS PAC ID: 0446626626 Enrollment ID: O20221012002504 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald A Walters, LCSW 1244 Wisconsin Ave, Suite 303, Racine, WI 53403-1987 Ph: (262) 635-5520 | Donald A Walters, LCSW 1244 Wisconsin Ave, Suite 303, Racine, WI 53403-1987 Ph: (262) 635-5520 |
Mary Monica Weber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1220 Mound Ave, Ste 301, Racine, WI 53404 Phone: 262-633-3591 Fax: 262-633-2619 | |
Mrs. Kathleen Fenno Mcnulty, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1220 Mound Ave, Suite 301, Racine, WI 53404 Phone: 262-633-3591 Fax: 262-633-2619 | |
Jack A Plate, LCSW,LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4810 Northwestern Ave, Racine, WI 53406 Phone: 262-637-9984 Fax: 262-637-9995 | |
John Tate Ii, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 420 7th St, Racine, WI 53403 Phone: 262-634-2391 | |
Sara Aranda, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 937 Hayes Ave, Racine, WI 53405 Phone: 262-744-9110 | |
Stephanie B Hanson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 Wisconsin Ave, Suite 303, Racine, WI 53403 Phone: 262-635-5520 Fax: 262-635-5530 | |
Carole Ann Della Pia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6233 Durand Ave, Suite F, Racine, WI 53406 Phone: 262-554-8165 Fax: 262-554-8165 |