| Elizabeth A Jensema, LCSW | |
|
W2228 Koene Ct, Sheboygan Falls, WI 53085-2719 | |
| (920) 980-2183 | |
| Not Available |
| Full Name | Elizabeth A Jensema |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | W2228 Koene Ct, Sheboygan Falls, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295014199 | NPI | - | NPPES |
| 1295014199 | Medicaid | MN | |
| 1295014199 | Other | BCBS MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8522123 (Wisconsin) | Primary |
| Entity Name | Talkspace Provider Network Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20240415002987 |
| 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 |
|---|---|
| Elizabeth A Jensema, LCSW W2228 Koene Ct, Sheboygan Falls, WI 53085-2719 Ph: (920) 980-2183 | Elizabeth A Jensema, LCSW W2228 Koene Ct, Sheboygan Falls, WI 53085-2719 Ph: (920) 980-2183 |
Shelley Ann Janz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Lexington Ct, Sheboygan Falls, WI 53085 Phone: 262-483-4039 | |
Susan M Williams, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 467 River Oaks Dr, Sheboygan Falls, WI 53085 Phone: 414-202-5013 |